Provider Demographics
NPI:1356618235
Name:GETZ, JESSE L (MS, ATC)
Entity type:Individual
Prefix:
First Name:JESSE
Middle Name:L
Last Name:GETZ
Suffix:
Gender:F
Credentials:MS, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:197 SUN HAWK DR
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81503-3933
Mailing Address - Country:US
Mailing Address - Phone:970-234-3532
Mailing Address - Fax:
Practice Address - Street 1:2020 NORTH 12TH
Practice Address - Street 2:WESTERN ORTHOPEDICS AND SPORTS MEDICINE
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81501
Practice Address - Country:US
Practice Address - Phone:970-245-0484
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-21
Last Update Date:2011-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAT-5662255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer