Jenny Lynn Goeddel
Massage Therapist in Augusta, GA. Individual provider (NPI-1).
NPI number1245185966
StatusActive
Last updated in NPPESFeb 27, 2026
Details
- NPI
- 1245185966
- Entity type
- Individual (NPI-1)
- Name
- Jenny Lynn Goeddel
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 27, 2026
- Certification date
- Feb 27, 2026
- Last updated
- Feb 27, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MT1108882 | GA | Yes |
Practice location
205 New Petersburg Dr Ste DAugusta, GA 30907-1920
Phone 706-251-7800
Mailing address
205 New Petersburg DrAugusta, GA 30907-1919
Phone 706-251-7800
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