Provider Demographics
NPI:1104440668
Name:GOESSL, KRISTIN J (RRT)
Entity type:Individual
Prefix:
First Name:KRISTIN
Middle Name:J
Last Name:GOESSL
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:KRISTIN
Other - Middle Name:J
Other - Last Name:GILSTRAP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3823 TRUEMAN CT
Mailing Address - Street 2:
Mailing Address - City:HILLIARD
Mailing Address - State:OH
Mailing Address - Zip Code:43026-2496
Mailing Address - Country:US
Mailing Address - Phone:614-876-9558
Mailing Address - Fax:614-876-9570
Practice Address - Street 1:3823 TRUEMAN CT
Practice Address - Street 2:
Practice Address - City:HILLIARD
Practice Address - State:OH
Practice Address - Zip Code:43026-2496
Practice Address - Country:US
Practice Address - Phone:614-876-9558
Practice Address - Fax:614-876-9570
Is Sole Proprietor?:No
Enumeration Date:2020-06-01
Last Update Date:2020-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRCP9470227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered