Elevate Medical Spa LLC

Nurse Practitioner · Petoskey, MI

Organization Active NPI

NPI number 1609552173

Practice location

2230 E Mitchell Rd Ste a
Petoskey, MI 49770-6601
Phone
(231) 622-8103

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NPI record

NPI
1609552173
Entity type
Organization (Type 2)
Enumeration date
June 27, 2023
Last updated
March 3, 2026
Certified
March 3, 2026
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nurse Practitioner Primary 363L00000X — —
Family Nurse Practitioner 363LF0000X — —

Authorized official

Name
Martha Jean Goetz, FNP
Title
Owner
Phone
(231) 622-8103

Other names

  • Elevate Medical Aesthetics and Wellness

About Elevate Medical Spa LLC

Elevate Medical Spa LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 2230 E Mitchell Rd Ste a, Petoskey, MI 49770-6601. The NPI number 1609552173 was assigned on June 27, 2023 and the record was last updated on March 3, 2026.

The authorized official for this organization is Martha Jean Goetz, FNP, Owner.

Frequently asked questions

What is the NPI number of Elevate Medical Spa LLC?

The NPI number is 1609552173.

What is the phone number of Elevate Medical Spa LLC?

The phone number listed for the practice location is (231) 622-8103.

Where is Elevate Medical Spa LLC located?

2230 E Mitchell Rd Ste a, Petoskey, MI 49770-6601.

What is the taxonomy code for Elevate Medical Spa LLC?

The primary taxonomy code is 363L00000X – Nurse Practitioner; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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