IndividualActive
Michael Goltra, PTA
NPI 1306708573 · Physical Therapy Assistant · Montesano, WA
Provider details
- NPI number
- 1306708573
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
- License
- 10287 (WA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
800 Medcalf St
Montesano, WA 98563-1300
Phone: (360) 249-2273
Approximate (ZIP-level) locationGet directions
Mailing address
800 Medcalf St
Montesano, WA 98563-1300
Registry dates
- Enumerated
- 2025-11-26
- Last updated
- 2025-12-02
- Certified
- 2025-12-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.