Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bryan Godbout

Individual provider Physical Therapy Assistant · NPI 1780328054

Bryan Godbout is a Physical Therapy Assistant in Memphis, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2022
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Practice location Address checks out

3535 Kirby Pkwy
Memphis, TN 38115-3721
Phone: (612) 229-3615
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 7578 (TN)

Record details

NPI number1780328054
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 23, 2022
Last updated in NPPESApril 23, 2022
Certification dateApril 23, 2022
Mailing address1796 Crump Ave, Memphis, TN 38107-4513

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