Renae Goodell, PTA, LMP

NPI #1861737025 in Lacey, Washington

Provider Information

NPI Number: 1861737025
Entity Type: Individual
Name: Renae Goodell, PTA, LMP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: PTA, LMP
Enumeration Date: Nov 29, 2012
Last Updated: Sep 25, 2014

Practice Location

Address: 7405 38TH DR SE
City: Lacey
State: Washington
ZIP Code: 98503-7106
Phone: (336) 327-8975

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary
Massage Therapist	225700000X

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