Individual provider · Type 1 NPI

Mariah Goodell

Physical Therapy Assistant · Surprise, AZ

NPI number 1619708286 Active

Practice location

16350 N Pat Tillman Blvd, Suite 102
Surprise, AZ 85387

Mailing address

17816 W Jessie Ln
Surprise, AZ 85387-4056

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA-014534 (AZ)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1619708286

Mariah Goodell's National Provider Identifier is 1619708286, issued on Aug 13, 2024. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Surprise, AZ. The record was last updated on Aug 13, 2024.