NPI 1790209864

Kelly Ann Roth, CPO

Practitioner Orthotist Crown Point, IN

Practice location

Address: 1450 E Joliet St STE 206, Crown Point, IN 46307-4726
Phone: (219) 801-3937
Fax: (219) 301-8734

Registered specialties (2)

Orthotist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence 213000351 (IL)

Other Orthotist providers in Indiana →

Prosthetist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence 211000319 (IL)

Other Prosthetist providers in Indiana →

Registry record

NPI: 1790209864
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Aug 2017
Record last updated: 25 Jul 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.