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

Tanner S Goulet, PTA

Individual provider Physical Therapy Assistant · NPI 1881061414

Tanner S Goulet, PTA is a Physical Therapy Assistant in Russellville, Arkansas. Licensed in Arkansas. Registered with an NPI since 2015.

Licensed in
AR
In the registry since
2015
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

1915 W Main St
Russellville, AR 72801-2725
Phone: (479) 968-1198
Fax: (479) 967-1178
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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 PTA3934 (AR)

Record details

NPI number1881061414
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedAugust 31, 2015
Last updated in NPPESAugust 31, 2015

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