NPI 1013430677
John Steven Goodenough
Practice location
- Address
- 15345 Greenhaven Ln APT 106, Burnsville, MN 55306-1616
- Phone
- (612) 991-1265
Registered specialties
Massage Therapist
Primary
Registry record
- NPI
- 1013430677
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 25 Jul 2017
- Record last updated
- 21 Jul 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.