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Individual

ANDREW J GOETZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
11042 STATE ROUTE 525 STE 134, CLINTON, WA 98236-8618
(360) 341-1299
(360) 341-1277
Mailing address
PO BOX 643, CLINTON, WA 98236-0643
(360) 341-1299
(360) 341-1277

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT0003656
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
125635
DEPT OF L AND I
WA
05
8380842
WA
Enumeration date
08/10/2006
Last updated
04/23/2026
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