| Doctor Name: | MRS. MICHELLE PATRICIA GOSHERT |
| NPI Number: | 1568798437 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | PT22741 |
| Business Practice Address: | 1250 S 18th St Fernandina Beach, FL - 320341902 |
| Business Phone Number: | 9043213500 |
| Business Fax Number: | 9042770968 |
| Mailing Address: | 85690 Bostick Wood Dr, FERNANDINA BEACH |
| State: | FL |
| Postal Code: | 320348179 |
| Phone Number: | 9045481174 |
| Fax Number: | 9045481174 |
| NPI Enumeration Date: | 10/27/2009 |
| NPI Last Update Date: | 10/27/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT22741 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| 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 |