Doctor Name: | MRS. MICHELE RENEE GODFREY |
NPI Number: | 1649498155 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPT |
License Number: | 002107 |
Business Practice Address: | 1516 Winchester Ave Martinsburg, WV - 254015025 |
Business Phone Number: | 3042635680 |
Business Fax Number: | 3042671532 |
Mailing Address: | Po Box 1764, MARTINSBURG |
State: | WV |
Postal Code: | 254021764 |
Phone Number: | 3042640036 |
Fax Number: | 3042634123 |
NPI Enumeration Date: | 04/22/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 002107 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
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 |