# ELEVATE MEDICAL SPA LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Elevate Medical Aesthetics and Wellness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609552173
- **Authorized official:** MARTHA JEAN GOETZ FNP (OWNER)
- **Authorized official phone:** (231) 622-8103

## Contact information

- **Practice address:** 2230 E MITCHELL RD STE A, PETOSKEY, MI 49770-6601
- **Practice address phone:** (231) 622-8103
- **Mailing address:** 2230 E MITCHELL RD STE A, PETOSKEY, MI 49770-6601
- **Mailing address phone:** (231) 622-8103
- **Mailing address fax:** (949) 695-2102

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 06/27/2023
- **Last updated:** 03/03/2026