Traci Goltz, DPT
Individual provider Active NPI Physical Therapist · Greenfield, IA
NPI 1003224544 · NPPES record last updated Jul 29, 2014
Key facts
- NPI
- 1003224544
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 005104 (IA)
- Practice address
- 609 SE Kent St
Greenfield, IA 50849-9454 - Phone
- (641) 743-2123
- Fax
- (641) 743-7283
- NPI assigned
- Jul 29, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005104 | IA | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 005104 | IA | Yes |
| Physical Therapist | 225100000X | 3603 | AR |
Addresses
Primary practice location
609 SE Kent St
Greenfield, IA 50849-9454
Mailing address
850 43Rd Ave Ste 100
Moline, IL 61265-8401
Phone (309) 743-2070
Other providers in Greenfield, IA
- Brittany Christoffersen
- County of Adair
- Jenna Evans
- Eye Care Associates of Co, LLC
- Ryan Frost
- Greater Regional Medical Center
- Greater Regional Medical Center
- Greater Regional Medical Center
- Greenfield Assisted Living Community
- Greenfield Manor Inc
All providers in Greenfield, IA · Physical Therapist in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.