Provider Demographics
NPI:1780880328
Name:GOFORTH, CATHERINE BRANEN (PT)
Entity type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:BRANEN
Last Name:GOFORTH
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 1:9 STEGALL LN
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28805-8211
Mailing Address - Country:US
Mailing Address - Phone:828-989-5088
Mailing Address - Fax:828-255-5105
Practice Address - Street 1:9 STEGALL LN
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28805-8211
Practice Address - Country:US
Practice Address - Phone:828-989-5088
Practice Address - Fax:828-255-5105
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-21
Last Update Date:2009-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC96602251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics