ELLIS AUSTIN GOODWIN

NPI: 1972490571 · Individual · Active

Primary Specialty

Physical Therapist

Practice Location

3799 12TH STREET EXT STE 100
CAYCE, SC 29033-3750 Map ↗
Phone: 803-926-6810

All Specialties & Licenses

  • Physical Therapist Primary (license: 12983, SC)
  • Student in an Organized Health Care Education/Training Program

HIE Endpoints

  • DIRECT: egoodwin193341@direct.lexmed.com

NPI Registration

Enumerated: 2025-06-18

Last CMS Update: 2026-03-18