Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY AMANDA GODDARD
Active Sole ProprietorKELLY AMANDA GODDARD is a Athletic Trainer healthcare provider located in STRATFORD, Connecticut. NPI 1700540200 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · STRATFORD, CT
Registration Details
- NPI Number
- 1700540200
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 29, 2021 (4.7521551828018 yrs)
- Last Updated
- Jun 2, 2024
- License
-
1851 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
201 NICHOLS TERSTRATFORD, CT, 066143959Browse CT providers · Browse ZIP 06614
- Phone
- 2033771752
- Primary Specialty
-
Athletic Trainer
2255A2300X
- Additional Specialty
- Student (Health Education/Training)
Other Athletic Trainer Providers in STRATFORD, CT
| Name | Credential | NPI |
|---|---|---|
| DANA LYNN JUSINO | ATC | 1891963146 |
| MRS. ASHLEY FRISINA-DEYO | MS, ATC, LAT | 1730631979 |
| MR. MICHAEL HARRY GROVES | ATC, LAT | 1033651617 |
| JULLIANA TAPIA | — | 1477061158 |
| DANIEL PERILLO | — | 1669976544 |
| SHANNON ELIZABETH TRIPODI | — | 1659912194 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.