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NPI Code Detail

MEDICARE: MS. ELAINE YOST GOODALL P.T,

MEDICARE: MS. ELAINE YOST GOODALL P.T,
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist2305003044VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1195383OTHERVAANTHEM
2152434OTHERVASOUTHERN HEALTH

General Provider Information

NPI Number : 1053569913
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ELAINE YOST GOODALL P.T,
Provider Business Mailing Address
First Line : 542 WALNUT HILLS RD
Second Line :
City : STAUNTON
State : VA
Zip : 24401-6935
Country : US
Telephone Number : 540-337-1999
Fax Number : 540-337-9618
Provider Business Practice Location Address
First Line : 542 WALNUT HILLS RD
Second Line :
City : STAUNTON
State : VA
Zip : 24401-6935
Country : US
Telephone Number : 540-337-1999
Fax Number : 540-337-9618
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/04/2008
Last Update Date : 10/08/2008

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Directions to “ MS. ELAINE YOST GOODALL P.T,” Practice Location

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