Nancy Goethlich PTA
Physical Therapy Assistant in Hayward, WI(View on Map)
Full Name
Nancy Goethlich PTA
NPI Number
1184005837
NPI Type
Individual Provider
Gender
Female
Enumeration Date
06/17/2015
Specialties
(Taxonomies)Licenses
State
Wisconsin
License Number
1108-19
Contact
Information
Purpose
Mailing
Location
Address
10775 NYMAN AVE
10775 NYMAN AVE
City
Hayward
Hayward
State
WI
WI
Postal Code
54843-6484
54843-6484
Country
US
US
Telephone Number
(715) 634-2202
(715) 634-2202
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 06/17/2015