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NPI Code Detail

MEDICARE: DR. CHRISTOPHER JOHN GOETTEE DPT

MEDICARE: DR. CHRISTOPHER JOHN GOETTEE DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist18054MA

General Provider Information

NPI Number : 1356529747
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTOPHER JOHN GOETTEE DPT
Provider Business Mailing Address
First Line : 700 CHILDRENS DR
Second Line :
City : COLUMBUS
State : OH
Zip : 43205-2664
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 150 W MAIN ST
Second Line :
City : NEW ALBANY
State : OH
Zip : 43054-9229
Country : US
Telephone Number : 614-685-9425
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2008
Last Update Date : 06/03/2021

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