Trevia Goodall

NPI 1073048849 · on the registry since 2017 · sole proprietor

Practice

Address: 800 W Broadway St
West Memphis, AR 72301
Phone: (870) 735-5174
Organisation at this address: West Memphis Wellness Llc
Broadway Health Holdings Llc
Broadway Health And Rehab, Llc
Community Compassion West Memphis
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 282N00000X
282N00000X
Licence states on file: AR
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2017-04-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas