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

RENAE GOODELL, PTA, LMP

Active Sole Proprietor

RENAE GOODELL, PTA, LMP is a Occupational Therapist healthcare provider located in LACEY, Washington. NPI 1861737025 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · LACEY, WA

Registration Details

NPI Number
1861737025
Provider Type
Individual
Gender
Female
NPI Issued
Nov 29, 2012 (13.730996775962 yrs)
Last Updated
Sep 25, 2014
Licenses
60046677 (WA)
MA 60453128 (WA)
Sole Proprietor
Yes

Practice Information

Address
7405 38TH DR SE
LACEY, WA, 985037106
Browse WA providers · Browse ZIP 98503
Phone
3363278975
Primary Specialty
Occupational Therapist
225200000X
Additional Specialty
Massage Therapist

Other Occupational Therapist Providers in LACEY, WA

Name Credential NPI
KERRY HICKETHIER PTA, ATC 1912122201
MICHAEL TAYLOR 1265696686
CHRISTIE HUMBERG 1639484629
EVAN MIKEL HAGEN ATC, PTA 1356693634
AMY RENEE HAMBLY PTA 1346770823
AUSTIN P MCCORMACK 1710748306
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.