Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STEPHANIE ROTH, PT
Active Sole ProprietorPhysical Therapy Assistant · MOSINEE, WI
Registration Details
- NPI Number
- 1790176675
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 12, 2015 (11.222772494744 yrs)
- Last Updated
- Sep 20, 2023
- License
-
12778 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
390 ORBITING DRMOSINEE, WI, 544551763Browse WI providers · Browse ZIP 54455
- Phone
- 7156939188
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in MOSINEE, WI
| Name | Credential | NPI |
|---|---|---|
| LEAH J BOUTON | PT | 1558461715 |
| JASON KYLE FANDREY | PT | 1013238377 |
| BRANDON JACOB PATOKA | DPT | 1568273696 |
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.