Zachary Jacob Goetz
Individual provider Active NPI Athletic Trainer · Huntington, IN
NPI 1609323161 · NPPES record last updated Sep 1, 2016
Key facts
- NPI
- 1609323161
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 72 N 300 W
Huntington, IN 46750-8160 - Phone
- (260) 359-2489
- NPI assigned
- Sep 1, 2016
- Sex
- Male
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Yes | ||
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
72 N 300 W
Huntington, IN 46750-8160
Mailing address
72 N 300 W
Huntington, IN 46750-8160
Phone (260) 359-2489
Other providers in Huntington, IN
- Tim Gebreyes
- Stephen F Geders
- Genoa Healthcare LLC
- Mary Gilliam
- Alethea Gilpin
- Jennifer N. Goff
- Carter Gonzalez
- Cynthia Anne Goshert
- Joseph Gozun
- Mary Jane Graves
All providers in Huntington, IN · Athletic Trainer in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 2016. 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.