Doctor Name: | GEOFFREY MICHAEL GOHEEN |
NPI Number: | 1295050839 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LMT |
License Number: | 3556 |
Business Practice Address: | 303 Barnes Ave Suite B La Junta, CO - 810501373 |
Business Phone Number: | 7193845446 |
Business Fax Number: | 7193845672 |
Mailing Address: | 711 Barnes Ave, LA JUNTA |
State: | CO |
Postal Code: | 810502138 |
Phone Number: | 7193830701 |
Fax Number: | 7193845672 |
NPI Enumeration Date: | 04/06/2010 |
NPI Last Update Date: | 04/06/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 3556 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |