Provider Demographics
NPI:1225485519
Name:GOOD, ERIKA (PT)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:
Last Name:GOOD
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1726 BRAESWOOD DR
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78412-4584
Mailing Address - Country:US
Mailing Address - Phone:361-500-6686
Mailing Address - Fax:361-299-5882
Practice Address - Street 1:1726 BRAESWOOD DR
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78412-4584
Practice Address - Country:US
Practice Address - Phone:361-500-6686
Practice Address - Fax:361-299-5882
Is Sole Proprietor?:No
Enumeration Date:2016-05-17
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2120253225200000X
TX1355284225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant