Individual
KAITLYN CORRINN GOETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
6000 W DENTON ST, BOISE, ID 83704-9310
(208) 629-4383
Mailing address
8238 E TWIN EAGLES ST, NAMPA, ID 83687-8523
(208) 420-3985
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-8082
ID
Other
Enumeration date
07/11/2022
Last updated
07/11/2022
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