Individual provider · Type 1 NPI
Carresha Goodlow
Prosthetics Case Management · Iron, MI
NPI number
1114478542
Active
Practice location
W8007 South US 141/2, #334
Iron, MI 49801-9466
Mailing address
PO Box 6561
Milwaukee, WI 53206-0561
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthetics Case Management Primary | 1744P3200X | 2701437960 (MI) |
Prosthetics Case Management: A case manager who provides services for patients with prosthetics.
About NPI 1114478542
Carresha Goodlow's National Provider Identifier is 1114478542, issued on Oct 20, 2016. The primary taxonomy on file is Prosthetics Case Management (1744P3200X), and the practice location is in Iron, MI. The record was last updated on Oct 20, 2016.