Provider Demographics
NPI:1700231487
Name:GODSEY, MICHAEL SCOTT (DC)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:SCOTT
Last Name:GODSEY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7276 S SEDALIA ST
Mailing Address - Street 2:
Mailing Address - City:FOXFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80016-1643
Mailing Address - Country:US
Mailing Address - Phone:417-846-5260
Mailing Address - Fax:
Practice Address - Street 1:7276 S SEDALIA ST
Practice Address - Street 2:
Practice Address - City:FOXFIELD
Practice Address - State:CO
Practice Address - Zip Code:80016-1643
Practice Address - Country:US
Practice Address - Phone:417-846-5260
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-29
Last Update Date:2016-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCHR.0007439111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor