Most Relevant Information
Provider Data
| NPI Number: | 1003655374 |
| Provider Name: | KRISTIN LEIGH ROTH DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 05009925A |
Most Important Dates
| Enumeration Date: | 05/24/2024 |
| Last Updated: | 05/24/2024 |
Provider Practice Location
5515 W 38TH ST
INDIANAPOLIS
IN
462542995
Practice Location Phone/Fax
| Phone: | 3178800282 |
| Fax: | 3178800296 |
Provider Mailing Location
5515 W 38TH ST
INDIANAPOLIS
IN
462542995
Provider Mailing Phone/Fax
| Phone: | 3178800282 |
| Fax: | 3178800296 |