Provider Demographics
NPI:1497841191
Name:GOODING, CHERYL RAE (KT)
Entity Type:Individual
Prefix:MS
First Name:CHERYL
Middle Name:RAE
Last Name:GOODING
Suffix:
Gender:F
Credentials:KT
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:8128 IBIS RESERVE CIRCLE
Mailing Address - Street 2:
Mailing Address - City:WST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33412
Mailing Address - Country:US
Mailing Address - Phone:561-775-8381
Mailing Address - Fax:
Practice Address - Street 1:7305 NORTH MILITARY TRAIL
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33410-6400
Practice Address - Country:US
Practice Address - Phone:561-422-5730
Practice Address - Fax:561-422-8288
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes226300000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersKinesiotherapist