Individual
AMY GOEBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2912 S BUSINESS DR, SHEBOYGAN, WI 53081-6520
(920) 803-2179
(920) 803-2203
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
(630) 759-9510
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6380
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40329300
—
WI
Enumeration date
07/27/2006
Last updated
09/26/2016
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