Individual
DR. JOHN TERRY GODFREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1146 N CASS ST, STE C, WABASH, IN 46992-1082
(260) 563-9090
(260) 563-9090
Mailing address
1146 N CASS ST, STE C, WABASH, IN 46992-1082
(260) 563-9090
(260) 274-0090
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002923A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007632148
AETNA
—
Enumeration date
11/10/2006
Last updated
12/14/2016
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