Provider Demographics
NPI:1144257858
Name:GOOD RIGGS, KATHERINE JOANNE (RPT)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:JOANNE
Last Name:GOOD RIGGS
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:JOANNE
Other - Last Name:GOOD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RPT
Mailing Address - Street 1:2390 N 400 W
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:IN
Mailing Address - Zip Code:47932-8138
Mailing Address - Country:US
Mailing Address - Phone:765-793-4568
Mailing Address - Fax:
Practice Address - Street 1:1900 E MAIN ST
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:IL
Practice Address - Zip Code:61832-5100
Practice Address - Country:US
Practice Address - Phone:217-554-5231
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist