Doctor Name: | ERIC HAROLD GODFREY |
NPI Number: | 1558721423 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | 9989 |
Business Practice Address: | 4212 Grand Ave Essentia Health West Duluth Clinic Duluth, MN - 558072737 |
Business Phone Number: | 2187863500 |
Business Fax Number: | |
Mailing Address: | 115 N 8th Ave E, DULUTH |
State: | MN |
Postal Code: | 558052070 |
Phone Number: | 2183102324 |
Fax Number: | |
NPI Enumeration Date: | 03/04/2016 |
NPI Last Update Date: | 03/04/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 9989 |
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 |