Nancy Goethlich, PTA

NPI #1184005837 in Hayward, Wisconsin

Provider Information

NPI Number: 1184005837
Entity Type: Individual
Name: Nancy Goethlich, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jun 17, 2015
Last Updated: Jun 17, 2015

Practice Location

Address: 10775 NYMAN AVE
City: Hayward
State: Wisconsin
ZIP Code: 54843-6484
Phone: (715) 634-2202

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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