Leticia Ann Goodpasture Hulse
Physical Therapist in Hannibal, MO. Individual provider (NPI-1).
NPI number1245308717
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1245308717
- Entity type
- Individual (NPI-1)
- Name
- Leticia Ann Goodpasture Hulse
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 1, 2006
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 2005000204 | MO | Yes |
Other names
- Leticia Ann Goodpasture (Former Name)
Practice location
10407 Elm RdHannibal, MO 63401-7347
Phone 573-406-8694
Mailing address
10407 Elm RdHannibal, MO 63401-7347
Phone 573-406-8694
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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