Rebecca Lynn Godwin, LAT, ATC

Individual provider Active NPI Athletic Trainer · Williamsport, MD

NPI 1992200059 · NPPES record last updated Dec 3, 2020

Key facts

NPI
1992200059
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
Practice address
5 S Clifton Dr
Williamsport, MD 21795-1124
Phone
(301) 401-5930
NPI assigned
Mar 29, 2018
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X Yes

Addresses

Primary practice location

5 S Clifton Dr
Williamsport, MD 21795-1124

Mailing address

1611 Johnnycake LN
Harpers Ferry, WV 25425-4554
Phone (301) 401-5930

Other providers in Williamsport, MD

All providers in Williamsport, MD · Athletic Trainer in Maryland

Sources for this page

Verify at the official NPI Registry.