Doctor Name: | SAMANTHA GOODMANSON |
NPI Number: | 1205137551 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 27-0897702 |
Business Practice Address: | 5525 141st St N Hugo, MN - 550388429 |
Business Phone Number: | 6123568764 |
Business Fax Number: | |
Mailing Address: | 12100 Singletree Ln Ste 196, EDEN PRAIRIE |
State: | MN |
Postal Code: | 553447961 |
Phone Number: | 6127461341 |
Fax Number: | |
NPI Enumeration Date: | 11/03/2010 |
NPI Last Update Date: | 11/03/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 27-0897702 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |