Jacklyn Goddard, PT

NPI #1205193612 in Sturgeon Bay, Wisconsin

Provider Information

NPI Number: 1205193612
Entity Type: Individual
Name: Jacklyn Goddard, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Apr 23, 2012
Last Updated: May 19, 2025

Practice Location

Address: 1449 GREEN BAY RD
City: Sturgeon Bay
State: Wisconsin
ZIP Code: 54235-3846
Phone: (920) 746-7200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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