Becky Lynn Goetsch, PTA
Individual provider Active NPI Physical Therapy Assistant · Casper, WY
NPI 1215192166 · NPPES record last updated Dec 7, 2010
Key facts
- NPI
- 1215192166
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- PTA-0316 (WY)
- Practice address
- 6631 E 2ND St
Casper, WY 82609-4355 - Phone
- (307) 268-9904
- Fax
- (307) 268-9907
- NPI assigned
- Jul 21, 2008
- 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 |
|---|---|---|---|
| PTA-0316 | WY | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA-0316 | WY | Yes |
Addresses
Primary practice location
6631 E 2ND St
Casper, WY 82609-4355
Mailing address
6631 E 2ND St
Casper, WY 82609-4355
Phone (307) 268-9904
Other providers in Casper, WY
- Janine Louise Glover
- Kimberly Rose Glynn
- Sarah Glynn
- Cheryl A Godley
- Valerie K Goen Mockenturm
- Kelcie Goham
- Alex Golde
- Monica Gonzales
- Katie Goode
- Danielle Goodwin
All providers in Casper, WY · Physical Therapy Assistant in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 7, 2010. 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.