Olivia Goodwin, ABOC

NPI 1962341867 · on the registry since 2026 · sole proprietor

Practice

Address: 355 54th St Sw
Wyoming, MI 49548
Phone: (616) 552-6228
Fax: (616) 534-2909
Organisation at this address: Wal-Mart Stores East Lp
Wal-Mart Stores East, Lp
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 6

Registry record

Primary taxonomy: 156FX1800X
156FX1800X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2026-03-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan