| Doctor Name: | CANDICE GOOD |
| NPI Number: | 1982908190 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | 6777 |
| Business Practice Address: | 300 W. Colorado Ave Unit 2b Telluride, CO - 814353178 |
| Business Phone Number: | 9707281888 |
| Business Fax Number: | 9703694671 |
| Mailing Address: | P.o. Box 3178, TELLURIDE |
| State: | CO |
| Postal Code: | 814353178 |
| Phone Number: | 9707281888 |
| Fax Number: | 9703694671 |
| NPI Enumeration Date: | 01/03/2011 |
| NPI Last Update Date: | 12/11/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251S0007X |
| License Number: | 6777 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CO |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Sports |
| Taxonomy Definition: | |