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

Miranda Goedtke

Individual provider Physical Therapy Assistant · NPI 1639957483

Miranda Goedtke is a Physical Therapy Assistant in Colorado Springs, Colorado. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2023
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Practice location Address checks out

5775 N Union Blvd
Colorado Springs, CO 80918-1744
Phone: (719) 434-7044
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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 8363 (TN)

Record details

NPI number1639957483
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 21, 2023
Last updated in NPPESSeptember 21, 2023
Certification dateSeptember 21, 2023

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