Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY ANN ROTH, CPO
ActiveKELLY ANN ROTH, CPO is a Orthotist healthcare provider located in CROWN POINT, Indiana. NPI 1790209864 is currently active in the NPPES registry. Verify at CMS.
Orthotist · CROWN POINT, IN
Registration Details
- NPI Number
- 1790209864
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 1, 2017 (8.9983560265788 yrs)
- Last Updated
- Jul 25, 2023
- Licenses
-
213000351 (IL)211000319 (IL)
Practice Information
- Address
-
1450 E JOLIET ST STE 206CROWN POINT, IN, 463074726Browse IN providers · Browse ZIP 46307
- Phone
- 2198013937
- Fax
- 2193018734
- Primary Specialty
-
Orthotist
222Z00000X
- Additional Specialty
- Pulmonary Function Technologist
Other Orthotist Providers in CROWN POINT, IN
| Name | Credential | NPI |
|---|---|---|
| KATHRYN SPOTTISWOOD | CO | 1326549296 |
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.