Most Relevant Information
Provider Data
| NPI Number: | 1003387150 |
| Provider Name: | NANCY ANN GOODELL |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 5501001361 |
Most Important Dates
| Enumeration Date: | 12/16/2018 |
| Last Updated: | 12/16/2018 |
Provider Practice Location
1411 3RD ST STE 3
PORT HURON
MI
480605480
Practice Location Phone/Fax
| Phone: | 5863236290 |
| Fax: |
Provider Mailing Location
15521 STOCKTON DR
CLINTON TOWNSHIP
MI
480382673
Provider Mailing Phone/Fax
| Phone: | 5862287125 |
| Fax: |