Provider Demographics
NPI:1194157727
Name:GOODNO, CHRISTINA KAY (RRT)
Entity type:Individual
Prefix:MS
First Name:CHRISTINA
Middle Name:KAY
Last Name:GOODNO
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1227 BROADWAY APT B
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98201-1773
Mailing Address - Country:US
Mailing Address - Phone:425-322-1826
Mailing Address - Fax:
Practice Address - Street 1:1227 BROADWAY APT B
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98201-1773
Practice Address - Country:US
Practice Address - Phone:425-322-1826
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-06
Last Update Date:2013-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALR 601134912279H0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279H0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredHome Health