Individual
JACK GOFORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
9321 W THOMAS RD STE 205, PHOENIX, AZ 85037-3392
(866) 974-2673
Mailing address
13310 N PLAZA DEL RIO BLVD UNIT 2150, PEORIA, AZ 85381-0017
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-034625
AZ
Other
Enumeration date
01/23/2026
Last updated
01/23/2026
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