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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ANDREA LYNN ROTH, ATC

Active

ANDREA LYNN ROTH, ATC is a Athletic Trainer healthcare provider located in BLOOMINGTON, Indiana. NPI 1437147196 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · BLOOMINGTON, IN

Registration Details

NPI Number
1437147196
Provider Type
Individual
Gender
Female
NPI Issued
Oct 7, 2005 (20.669329238238 yrs)
Last Updated
Jul 8, 2007

Practice Information

Address
1001 E 17TH ST
INDIANA UNIVERSITY ATHLETICS
BLOOMINGTON, IN, 474081590
Browse IN providers · Browse ZIP 47408
Phone
8128554500
Fax
8128551810
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in BLOOMINGTON, IN

Name Credential NPI
PROF. JOHN WILLIAM SCHRADER HSD, LAT, ATC 1306830849
MR. JOSEPH SCOTT LUEKEN ATC 1114915873
MR. WALTER K SMITH MED, LAT, ATC 1417945122
MR. ADAM BRIAN CLEMENS ATC 1891784351
MR. ROBERT E BLACK ATC 1053301887
RUTH ANN ALLEN ATC 1922099951
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.