Doctor Name: | DAVID GOERING |
NPI Number: | 1477914430 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LMP |
License Number: | MA00008062 |
Business Practice Address: | 560 Gage Blvd Suite 203 Richland, WA - 993528650 |
Business Phone Number: | 5099423627 |
Business Fax Number: | 5099422268 |
Mailing Address: | 1268 Lee Blvd, RICHLAND |
State: | WA |
Postal Code: | 993524231 |
Phone Number: | 5099422660 |
Fax Number: | 5099422727 |
NPI Enumeration Date: | 03/17/2016 |
NPI Last Update Date: | 03/17/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MA00008062 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |