Ellis Austin Goodwin
NPI #1972490571 in Cayce, South Carolina
Provider Information
- NPI Number
- 1972490571
- Entity Type
- Individual
- Name
- Ellis Austin Goodwin
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Jun 18, 2025
- Last Updated
- Aug 11, 2025
Practice Location
- Address
- 3799 12TH STREET EXT STE 100
- City
- Cayce
- State
- South Carolina
- ZIP Code
- 29033-3750
- Phone
- (803) 926-6810
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Physical Therapist |
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