Individual
HALLIE KRISTINE GOETTSCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
137 N 100 W, TOOELE, UT 84074-2030
(435) 228-8891
Mailing address
137 N 100 W, TOOELE, UT 84074-2030
(435) 228-8891
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
121186522402
UT
Other
Enumeration date
04/13/2021
Last updated
04/13/2021
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