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NPI 1750484978

NPI 1750484978 : CHRISTOPHER MATTHEW GOODWIN P.T. : LUBBOCK, TX

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General NPI Number Information
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    NPI Number           |    1750484978
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    Entity Type          |    Individual 
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    Provider Name        |    CHRISTOPHER MATTHEW GOODWIN P.T.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    09/06/2006
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    Last Update Date     |    12/03/2025
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Provider Practice Location Address
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    Address Line         |    7008 SALEM AVE STE 117 
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    City                 |    LUBBOCK
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    State                |    TX
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    Zip                  |    79424-2226
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    Country              |    US
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    Telephone            |    800-924-7811
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    Fax                  |    877-349-1868
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Provider Business Mailing Address
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    Address Line         |    440 N BARRANCA AVE # 1801 
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    City                 |    COVINA
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    State                |    CA
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    Zip                  |    91723-1722
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    Country              |    US
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    Telephone            |    800-924-7811
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    Fax                  |    877-349-1868
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    CP049544T
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    License Number State |    NC
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Taxonomy #2
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    1079754
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    License Number State |    TX
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Taxonomy #3
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    CP050541T
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    License Number State |    OH
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Taxonomy #4
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    Taxonomy Code        |    2251X0800X
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    Taxonomy Name        |    Orthopedic Physical Therapist
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    License Number       |    1079754
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    License Number State |    TX
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Taxonomy #5
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    Taxonomy Code        |    2251S0007X
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    Taxonomy Name        |    Sports Physical Therapist
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    License Number       |    1079754
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    License Number State |    TX
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Taxonomy #6
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    CP050536T
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    License Number State |    PA
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Taxonomy #7
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    CP049545T
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    License Number State |    SC
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