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

Kelly Amanda Goddard

Individual provider Athletic Trainer · NPI 1700540200

Kelly Amanda Goddard is an Athletic Trainer in Stratford, Connecticut. Practices as a sole proprietor. Licensed in Connecticut.

Licensed in
CT
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

201 Nichols Ter
Stratford, CT 06614-3959
Phone: (203) 377-1752
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 1851 (CT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (CT)

Record details

NPI number1700540200
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 29, 2021
Last updated in NPPESJune 2, 2024
Certification dateJune 2, 2024

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