NPI 1124562954

Andrew Goforth, LMT

Practitioner Mechanotherapist Fenton, MI

Practice location

Address: 3308 Arbor Dr, Fenton, MI 48430-3127
Phone: (810) 333-7990
Fax: (810) 215-1086
Mailing address: 3308 Arbor Dr., Fenton, MI 48430-3127

Registered specialties

Mechanotherapist Primary

Other Service Providers Taxonomy 172M00000X Licence 7501007374 (MI)

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Registry record

NPI: 1124562954
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Dec 2016
Record last updated: 13 Dec 2016

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.