Provider Demographics
NPI:1811101280
Name:GOODIER, RICHARD VERNON (R P T)
Entity type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:VERNON
Last Name:GOODIER
Suffix:
Gender:M
Credentials:R P T
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 WOOD CIR
Mailing Address - Street 2:
Mailing Address - City:EUREKA SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:72632-9411
Mailing Address - Country:US
Mailing Address - Phone:479-253-8191
Mailing Address - Fax:215-261-0814
Practice Address - Street 1:1221 COUNTY ROAD 157
Practice Address - Street 2:
Practice Address - City:EUREKA SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:72632-9343
Practice Address - Country:US
Practice Address - Phone:479-253-1711
Practice Address - Fax:215-261-0814
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR627225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist