Healthcare Provider Details

I. General information

NPI: 1205132354
Provider Name (Legal Business Name): KATE GOELER CPM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/08/2011
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

126 N BLACK AVE
BOZEMAN MT
59715-3606
US

IV. Provider business mailing address

126 N BLACK AVE
BOZEMAN MT
59715-3606
US

V. Phone/Fax

Practice location:
  • Phone: 315-466-4202
  • Fax:
Mailing address:
  • Phone: 315-466-4202
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175M00000X
TaxonomyLay Midwife
License NumberAHC-MID-LIC-131182
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: