Active NPIIndividual provider

Michelle Goodrich, ATC, EDM

Specialist/Technologist, Athletic Trainer in Chestnut Hill, Massachusetts

NPI Number1376942235
Practice location
400 Heath St, Chestnut Hill, MA 02467-2332
Fax
617-731-7035
Last updated
August 17, 2014

Michelle Goodrich is a Specialist/Technologist, Athletic Trainer based in Chestnut Hill, MA. Michelle Goodrich practices in Chestnut Hill, MA and has the professional credentials of ATC, EDM. The NPI Number for Michelle Goodrich is 1376942235 and holds a License No. 1768 (MA). The current practice location address for Michelle Goodrich is 400 Heath St, Chestnut Hill, MA 02467-2332 and can be reached out via phone at 617-731-7057 and via fax at 617-731-7035.

Provider Profile Details

NPI Number
1376942235
Provider Name
Michelle Goodrich
Credential
ATC, EDM
Provider Entity Type
Individual
Gender
Female
Address
400 Heath St, Chestnut Hill, MA 02467-2332
Phone Number
617-731-7057
Fax Number
617-731-7035
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
No
Provider Enumeration Date
August 17, 2014
Last Update Date
August 17, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
400 Heath St
Chestnut Hill, MA 02467-2332
Zip
02467-2332
Phone Number
617-731-7057
Fax Number
617-731-7035
Chestnut Hill, MA 02467Get directions →

Provider Business Mailing Address Details

Address
400 Heath St
Chestnut Hill, MA 02467-2332
City
Chestnut Hill
State
MA
Zip
02467-2332

License Information

License Number
1768
License State
MA
Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Michelle Goodrich, ATC, EDM?

The NPI number of Michelle Goodrich, ATC, EDM is 1376942235. It was assigned on August 17, 2014 and is currently active in the NPPES registry.

What is the specialty of Michelle Goodrich, ATC, EDM?

Michelle Goodrich, ATC, EDM is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in MA under license number 1768.

Where does Michelle Goodrich, ATC, EDM practice?

The practice location is 400 Heath St, Chestnut Hill, MA 02467-2332. The office can be reached at 617-731-7057 (phone) or 617-731-7035 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1376942235 directly on the NPPES registry website.

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