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Contact Information

HALLIE K GOETTSCHE, PTA
5126 W DAYBREAK PARKWAY
SOUTH JORDAN , UT85009
 Phone: 801-213-4500
 Fax: 801-213-5077
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy Assistant

225200000X
Indicates primary specialty

NPI Profile & details for HALLIE K GOETTSCHE · (Female)

NPI # 1538749460
Status Active
Credentials PTA (Physical Therapist Assistant)
Entity Individual
Enumeration date 04/13/2021
Last updated 04/13/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 121186522402
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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