Victoria Goudy, LMT, ND
Individual provider Active NPI Naturopath · Cle Elum, WA
NPI 1760960652 · NPPES record last updated Aug 1, 2018
Key facts
- NPI
- 1760960652
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Naturopath 175F00000X
- Practice address
- 920 Emerick Rd
Cle Elum, WA 98922-9139 - Phone
- (419) 571-8643
- NPI assigned
- Aug 1, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60517638 | WA | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | WA | Yes | |
| Massage Therapist | 225700000X | 60517638 | WA |
Addresses
Primary practice location
920 Emerick Rd
Cle Elum, WA 98922-9139
Mailing address
920 Emerick Rd
Cle Elum, WA 98922-9139
Phone (419) 571-8643
Other providers in Cle Elum, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 1, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.