ANDREW BLAKE GOODE

POCATELLO, ID
NPI1447698113
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT-2964)
Enumeration Date2013-06-04
Last Update Date2023-04-24
Business Address
ANDREW BLAKE GOODE DPT
335 E LEWIS ST STE 10
POCATELLO, ID 83201-6408
Phone number: 208-269-2360
Mailing Address
ANDREW BLAKE GOODE DPT
335 E LEWIS ST STE 10
POCATELLO, ID 83201-6408
Phone number: 208-269-2360