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

Tanisha Godbolt

Individual provider Prosthetic/Orthotic Supplier · NPI 1740871755

Tanisha Godbolt is a Prosthetic/Orthotic Supplier in Charlotte, North Carolina. Practices as a sole proprietor. Licensed in Connecticut.

Licensed in
CT
In the registry since
2021
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Practice location Address checks out

9147 Moss Cove Ct
Charlotte, NC 28227-8703
Phone: (832) 794-7264
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X · Licence 054857 (CT)

Record details

NPI number1740871755
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 2, 2021
Last updated in NPPESMay 19, 2022
Certification dateMay 19, 2022

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