Goddard, Christa Jeanette

Goddard, Christa Jeanette is an individual health care provider with primary practice located at 102B Dunhill Pl Nw , Cleveland TN 37311-3883. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Goddard, Christa Jeanette can be contacted via phone (423) 559-0444.

Contact Information

Primary practice address
102B Dunhill Pl Nw Cleveland TN 37311-3883
Phone: (423) 559-0444
Fax: (423) 559-0103
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1205874559
LBN Legal business name Goddard, Christa Jeanette
Credentials MSPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Jul 9th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205874559 NPPES
Tennessee MEDICAID 0446652
Tennessee Other 3156797

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