Dr. Jacqueline McCleneghen Goetz, DPT
Physical Therapist in Irving, TX. Individual provider (NPI-1).
NPI number1841822012
StatusActive
Last updated in NPPESFeb 6, 2020
Details
- NPI
- 1841822012
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jacqueline McCleneghen Goetz
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 6, 2020
- Certification date
- Feb 6, 2020
- Last updated
- Feb 6, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 1327970 | TX | Yes |
Practice location
7701 Las Colinas Rdg Ste 110Irving, TX 75063-7552
Phone 214-574-7848
Mailing address
14501 Montfort Dr Apt 920Dallas, TX 75254-8555
Phone 214-558-0005
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