Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Michelle Renae Goreth, PTA

Individual provider Physical Therapy Assistant · NPI 1558917476

Michelle Renae Goreth, PTA is a Physical Therapy Assistant in Geneseo, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2019
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

719 S Oakwood Ave
Geneseo, IL 61254-1756
Phone: (563) 650-7169
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 160004145 (IL)

Record details

NPI number1558917476
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedAugust 15, 2019
Last updated in NPPESAugust 15, 2019

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