IndividualActive
Stephen Goodman, MASSAGE THERAPIST
NPI 1750518007 · Specialist · Venice, FL
Stephen Goodman, MASSAGE THERAPIST is a Specialist provider in Venice, FL (NPI 1750518007).
Provider details
- NPI number
- 1750518007
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- MASSAGE THERAPIST
- Sex
- Male
- Sole proprietor
- Yes
- License
- MA55323 (FL)
Practice location
328 Tamiami Trl S Ste a
Venice, FL 34285-2434
Phone: (941) 485-5797
Street-level locationGet directions
Mailing address
20277 Pezzana Dr
Venice, FL 34292-4661
Registry dates
- Enumerated
- 2009-06-14
- Last updated
- 2009-06-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.