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KELLY AMANDA GODDARD
NPI 1700540200
Specialist/Technologist - Athletic Trainer in Stratford, CT

Active since October 29, 2021
201 NICHOLS TER, STRATFORD, CT 06614(203) 377-1752 Get Directions Write a Review

NPPES record last updated: June 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Amanda Goddard NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY AMANDA GODDARD (NPI 1700540200) is an individual athletic trainer provider in Stratford, Connecticut, licensed in Connecticut (1851) and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1700540200
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameKELLY AMANDA GODDARD
Location Address201 NICHOLS TERStratford, CT 06614-3959
Mailing Address201 Nichols TerStratford, CT 06614-3959 · (203) 377-1752
Phone(203) 377-1752
Sole ProprietorYes
Enumeration DateOctober 29, 2021
Last NPPES UpdateJune 2, 2024
NPPES CertifiedJune 2, 2024
✔ NPI 1700540200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
License✔ Licensed in CT · 1851
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
201 NICHOLS TER, Stratford, CT 06614
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Goddard's NPI number?

The NPI number for Kelly Goddard is 1700540200. It was assigned to this individual provider in the NPPES registry on October 29, 2021.

Where is Kelly Goddard located?

Kelly Goddard practices at 201 Nichols Ter, Stratford, CT 06614. The listed phone number is (203) 377-1752.

What is Kelly Goddard's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Kelly Goddard was last updated on June 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.