Whalio Doctors

NPI 1023899614

Samuel L Goodson, BSLMBT

Practitioner Mechanotherapist Clayton, NC

Practice location

Address
120 E Main St # 200, Clayton, NC 27520-2448
Phone
(919) 698-4648
Mailing address
502 Ballast PT, Clayton, NC 27520-6217

Registered specialties

Mechanotherapist Primary
Other Service Providers Taxonomy 172M00000X Licence 20022 (NC)

Registry record

NPI
1023899614
Entity type
Individual
Sex (as registered)
Female
NPI issued
10 Oct 2023
Record last updated
10 Oct 2023

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.