Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. KELLY LYNN ROACH, PTA
Active Sole ProprietorMRS. KELLY LYNN ROACH, PTA is a Occupational Therapist healthcare provider located in RAPID CITY, South Dakota. NPI 1689862658 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · RAPID CITY, SD
Registration Details
- NPI Number
- 1689862658
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 4, 2007 (18.823354049458 yrs)
- Last Updated
- Oct 4, 2007
- License
-
0224 (SD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3335 PALM DR APT 1RAPID CITY, SD, 577012069Browse SD providers · Browse ZIP 57701
- Phone
- 6053908545
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in RAPID CITY, SD
| Name | Credential | NPI |
|---|---|---|
| WENDY DELO | P.T. ASSISTANT | 1063587699 |
| CINDI BOSWELL | LPTA | 1821285552 |
| JOCELYN MAE DEPATIE | RPTA | 1033392485 |
| MELISSA H MOORE | PTA | 1801191655 |
| MEGAN LOUISE MULLANIX | PTA | 1679817522 |
| NATHAN LAPSLEY | — | 1275942617 |
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.