Doctor Name: | CRESS GOODNIGHT |
NPI Number: | 1962608695 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 7815 |
Business Practice Address: | 950 Kimball Rd China Grove, NC - 280239594 |
Business Phone Number: | 7046390055 |
Business Fax Number: | |
Mailing Address: | Po Box 60447, CHARLOTTE |
State: | NC |
Postal Code: | 282600447 |
Phone Number: | 7043847840 |
Fax Number: | |
NPI Enumeration Date: | 06/21/2007 |
NPI Last Update Date: | 11/09/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 7815 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |