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Nicole Goodman, ATC,LAT
Student in an Organized Health Care Education/Training Program in Tyler, Texas
NPI 1609224393

Nicole Goodman is a Student in an Organized Health Care Education/Training Program based in Fort Worth, TX. Nicole Goodman practices in Tyler, TX and has the professional credentials of ATC,LAT. The NPI Number for Nicole Goodman is 1609224393 and holds a License No. AT6334 (Texas).

The current practice location address for Nicole Goodman is 13172 State Highway 64 E, Tyler, TX and can be reached out via phone at 502-542-0583.

Location: 13172 State Highway 64 E, Tyler, TX, 76132-2469
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609224393
Provider Name
Nicole Goodman
Credential
ATC,LAT
Provider Entity Type
Individual
Gender
Female
Address
13172 State Highway 64 E, Tyler, TX, 76132-2469
Phone Number
502-542-0583
Fax Number
Provider Enumeration Date
06/02/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
13172 State Highway 64 E
City
Tyler
State
Texas
Zip
75707-5340
Phone Number
502-542-0583
Fax Number
person
Provider Business Mailing Address Details
Address
13172 State Highway 64 E
City
Tyler
State
Texas
Zip
75707-5340
Phone Number
502-542-0583
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
AT6334 (Texas)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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