Provider Demographics
NPI:1821803115
Name:GOODROW, HUNTER (DPT, PT)
Entity type:Individual
Prefix:
First Name:HUNTER
Middle Name:
Last Name:GOODROW
Suffix:
Gender:M
Credentials:DPT, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:192 TWIN VIEW DR
Mailing Address - Street 2:
Mailing Address - City:TWIN MOUNTAIN
Mailing Address - State:NH
Mailing Address - Zip Code:03595-2002
Mailing Address - Country:US
Mailing Address - Phone:774-278-8546
Mailing Address - Fax:
Practice Address - Street 1:1095 PROFILE RD
Practice Address - Street 2:
Practice Address - City:FRANCONIA
Practice Address - State:NH
Practice Address - Zip Code:03580-4938
Practice Address - Country:US
Practice Address - Phone:603-823-8600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-12
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH5640225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist