Provider Demographics
NPI:1386385540
Name:GOODMAN, JAMES C (ACSM-EP)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:C
Last Name:GOODMAN
Suffix:
Gender:M
Credentials:ACSM-EP
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Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4526 IBERIS RD
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79606-6626
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4526 IBERIS RD
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79606-6626
Practice Address - Country:US
Practice Address - Phone:325-455-6023
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-04
Last Update Date:2022-04-04
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Y00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersClinical Exercise Physiologist