Individual
MRS. KATHRYN MARIE GOODLET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1600 E BROADWAY, COLUMBIA, MO 65201-5844
(573) 815-3502
Mailing address
1600 E BROADWAY, COLUMBIA, MO 65201-5844
(573) 815-3502
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
119610
MO
Other
Enumeration date
02/01/2007
Last updated
07/08/2007
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