Individual
ZACHARY JACOB GOETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
72 N 300 W, HUNTINGTON, IN 46750-8160
(260) 359-2489
Mailing address
72 N 300 W, HUNTINGTON, IN 46750-8160
(260) 359-2489
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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