NPI 1518311976

Jennifer Erin Goodman, LMT

Practitioner Mechanotherapist Lexington, KY

Practice location

Address: 1795 Alysheba Way STE 4103, Lexington, KY 40509-2488
Phone: (859) 338-9996
Mailing address: 365 S Upper St APT 2, Lexington, KY 40508-2590

Registered specialties

Mechanotherapist Primary

Other Service Providers Taxonomy 172M00000X Licence BMTMTH00223694 (KY)

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Registry record

NPI: 1518311976
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Apr 2016
Record last updated: 21 Apr 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.