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

Jacklyn Goddard, PT

Individual provider Physical Therapist · NPI 1205193612

Jacklyn Goddard, PT is a Physical Therapist in Sturgeon Bay, Wisconsin. Works from 2 locations. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2012
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1449 Green Bay Rd
Sturgeon Bay, WI 54235-3846
Phone: (920) 746-7200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1110 Kepler Dr, Green Bay, WI 54311-8306 — (920) 288-4712

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 11243 (WI)

Record details

NPI number1205193612
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedApril 23, 2012
Last updated in NPPESMay 19, 2025
Certification dateMay 19, 2025
Mailing addressPo Box 735044, Chicago, IL 60673-5044

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