MIRANDA GOEDTKE

COLORADO SPRINGS, CO
NPI1639957483
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: TN  8363)
Enumeration Date2023-09-21
Last Update Date2023-09-21
Business Address
MIRANDA GOEDTKE
5775 N UNION BLVD
COLORADO SPRINGS, CO 80918-1744
Phone number: 719-434-7044
Mailing Address
MIRANDA GOEDTKE
2450 MOUNTAIN PINE LN
COLORADO SPRINGS, CO 80921-2007
Phone number: