Most Relevant Information
Provider Data
| NPI Number: | 1003224544 |
| Provider Name: | TRACI GOLTZ DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 005104 |
Most Important Dates
| Enumeration Date: | 07/29/2014 |
| Last Updated: | 07/29/2014 |
Provider Practice Location
609 SE KENT ST
GREENFIELD
IA
508499454
Practice Location Phone/Fax
| Phone: | 6417432123 |
| Fax: | 6417437283 |
Provider Mailing Location
850 43RD AVE STE 100
MOLINE
IL
612658401
Provider Mailing Phone/Fax
| Phone: | 3097432070 |
| Fax: | 3097432073 |