Most Relevant Information
Provider Data
| NPI Number: | 1003432006 |
| Provider Name: | MADISON KATE ROTH PT, DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 5501019578 |
Most Important Dates
| Enumeration Date: | 06/25/2020 |
| Last Updated: | 06/25/2020 |
Provider Practice Location
4616 STATE ST
SAGINAW
MI
486033805
Practice Location Phone/Fax
| Phone: | 9893551010 |
| Fax: |
Provider Mailing Location
4930 N MICHIGAN AVE
SAGINAW
MI
486041000
Provider Mailing Phone/Fax
| Phone: | 9899287354 |
| Fax: |