Doctor Name: | MR. FAY ALLEN GOODALL |
NPI Number: | 1730300518 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | PT00002838 |
Business Practice Address: | 1224 N. Idaho Suite A Post Falls, ID - 83854 |
Business Phone Number: | 2084578746 |
Business Fax Number: | 2084578767 |
Mailing Address: | Po Box 2316, POST FALL |
State: | ID |
Postal Code: | 83877 |
Phone Number: | 2084578746 |
Fax Number: | 2084578767 |
NPI Enumeration Date: | 05/01/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT00002838 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
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 |