MEDICARE: CASSANDRA GOODSON LMBT

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
1	225700000X	Massage Therapist	23447	NC

General Provider Information

NPI Number	:	1588580021
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CASSANDRA GOODSON LMBT

Provider Business Mailing Address
First Line	:	2809 BERRY PATCH CT
Second Line	:
City	:	CASTLE HAYNE
State	:	NC
Zip	:	28429-5473
Country	:	US
Telephone Number	:	910-200-0616
Fax Number	:

Provider Business Practice Location Address
First Line	:	4004 OLEANDER DR STE 101
Second Line	:
City	:	WILMINGTON
State	:	NC
Zip	:	28403-6807
Country	:	US
Telephone Number	:	910-200-0616
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/29/2026
Last Update Date	:	06/29/2026

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Directions to “ CASSANDRA GOODSON LMBT” Practice Location

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