NPI 1053142349

Jalen Isaiah Goodwin, LATATC

Practitioner Athletic Trainer Greenville, NC

Practice location

Address: 1301 E Arlington Blvd, Greenville, NC 27858-5868
Phone: (252) 565-8812
Fax: (252) 565-8814

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

Other Specialist/Technologist providers in North Carolina →

Registry record

NPI: 1053142349
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Aug 2024
Record last updated: 9 Aug 2024

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.