Individual provider · Type 1 NPI

Amber Goddard

Physical Therapy Assistant · Mattoon, IL

NPI number 1992056006 Active

Practice location

201 Lafayette Ave
Mattoon, IL 61938-4409

Call (217) 235-5549 Map

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X160.005690 (IL)

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 1992056006

Amber Goddard's National Provider Identifier is 1992056006, issued on Sep 28, 2012. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Mattoon, IL. The record was last updated on Sep 28, 2012.