Kelly Lee Goodman in Kiel - Occupational Therapist
Kelly Lee Goodman - NPI 1528272531
Kelly Lee Goodman is a Occupational Therapist in Kiel, Wisconsin. Kelly Lee Goodman practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Kelly Lee Goodman is 1528272531. The last update date is 2015-03-17.
Kelly Lee Goodman's current location address is 21211 State Road 57, Kiel, Wisconsin. You can contact this provider via phone number 9207402747. The mailing address for Kelly Lee Goodman is 21211 State Road 57, Kiel, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Lee Goodman |
|---|---|
| Address | 21211 State Road 57, Kiel, Wisconsin |
| Phone Number | 9207402747 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | OTR |
NPI Number Detail
| NPI Number | 1528272531 |
|---|---|
| Provider Enumeration Date | 2007-05-09 |
| Last Updated Date | 2015-03-17 |
Provider Mailing Address Detail
| Address | 21211 State Road 57 |
|---|---|
| City | Kiel |
| State | Wisconsin (WI) |
| Post Code | 530422145 |
| Phone Number | 9207402747 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | 3954-026 |
|
Definition: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federat |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 40868400 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Kelly Lee Goodman by the Centers for Medicare & Medicaid Services?
The Kelly Lee Goodman has been assigned the NPI (National Provider Identifier) 1528272531 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Kelly Lee Goodman is located?
The Kelly Lee Goodman is situated at the following address: 21211 State Road 57, Kiel, WI, 530422145.
What is Kelly Lee Goodman's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kelly Lee Goodman's specialized field of practice is Occupational Therapist, and the corresponding taxonomy code that categorizes this area of specialization is 225X00000X.
When was the Kelly Lee Goodman's 1528272531 issued?
The Kelly Lee Goodman's 1528272531 was issued on 2007-05-09.
As of what date were the details related to Kelly Lee Goodman most recently updated or revised?
The information pertaining to Kelly Lee Goodman, including its address, specialty, and other relevant details, was last updated or revised on 2015-03-17.
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