Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KRISTIN A ROSE, DT
ActiveKRISTIN A ROSE, DT is a Developmental Therapist healthcare provider located in CHAMPAIGN, Illinois. NPI 1417590506 is currently active in the NPPES registry. Verify at CMS.
Developmental Therapist · CHAMPAIGN, IL
Registration Details
- NPI Number
- 1417590506
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 22, 2019 (6.7708510337349 yrs)
- Last Updated
- Oct 22, 2019
Practice Information
- Address
-
1304 W BRADLEY AVECHAMPAIGN, IL, 618212035Browse IL providers · Browse ZIP 61821
- Phone
- 2173569176
- Fax
- 2173987137
- Primary Specialty
-
Developmental Therapist
222Q00000X
Other Developmental Therapist Providers in CHAMPAIGN, IL
| Name | Credential | NPI |
|---|---|---|
| JUDITH ULLOM | — | 1346469228 |
| MARY PETRE | — | 1740409630 |
| MRS. ALEXANDRA SHULENBURGER | — | 1164641023 |
| DEENA LOVE | — | 1326267212 |
| HARRIET KERSH | — | 1124247010 |
| JULIE DENISE GRYGIEL | M.ED. | 1770790529 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.