Individual
REBECCA GOETZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
470 N PARKWAY STE C, JACKSON, TN 38305-2843
(731) 300-7400
Mailing address
470 N PARKWAY STE C, JACKSON, TN 38305-2843
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
481
TN
Other
Enumeration date
05/02/2016
Last updated
05/02/2016
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