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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRANDON THOMAS GOODMAN, DPT

Active Sole Proprietor

BRANDON THOMAS GOODMAN, DPT is a Physical Therapy Assistant healthcare provider located in PERIDOT, Arizona. NPI 1821709247 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · PERIDOT, AZ

Registration Details

NPI Number
1821709247
Provider Type
Individual
Gender
Male
NPI Issued
Dec 6, 2022 (3.5450203081727 yrs)
Last Updated
Dec 6, 2022
License
6237 (OK)
Sole Proprietor
Yes

Practice Information

Address
103 MEDICINE WAY RD
PERIDOT, AZ, 855425000
Browse AZ providers · Browse ZIP 85542
Phone
9284751200
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in PERIDOT, AZ

Name Credential NPI
MADISON JEAN EWING PT, DPT 1710607445
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.