Provider Demographics
NPI:1033340989
Name:GOETZ, STEPHEN E (RMT, NCMT)
Entity Type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:E
Last Name:GOETZ
Suffix:
Gender:M
Credentials:RMT, NCMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3955 E EXPOSITION AVE
Mailing Address - Street 2:SUITE 320
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80209-5000
Mailing Address - Country:US
Mailing Address - Phone:303-777-1151
Mailing Address - Fax:303-777-3112
Practice Address - Street 1:3955 E EXPOSITION AVE
Practice Address - Street 2:SUITE 320
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80209-5000
Practice Address - Country:US
Practice Address - Phone:303-777-1151
Practice Address - Fax:303-777-3112
Is Sole Proprietor?:No
Enumeration Date:2009-07-27
Last Update Date:2011-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1339225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist