Kelly Lynn Roach in Rapid City - Physical Therapy Assistant
Kelly Lynn Roach - NPI 1689862658
Kelly Lynn Roach is a Physical Therapy Assistant in Rapid City, South Dakota. Kelly Lynn Roach practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Kelly Lynn Roach is 1689862658. The last update date is 2007-10-04.
Kelly Lynn Roach's current location address is 3335 Palm Dr Apt 1, Rapid City, South Dakota. You can contact this provider via phone number 6053908545. The mailing address for Kelly Lynn Roach is 3335 Palm Dr Apt 1, Rapid City, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Lynn Roach |
|---|---|
| Address | 3335 Palm Dr Apt 1, Rapid City, South Dakota |
| Phone Number | 6053908545 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PTA |
NPI Number Detail
| NPI Number | 1689862658 |
|---|---|
| Provider Enumeration Date | 2007-10-04 |
| Last Updated Date | 2007-10-04 |
Provider Mailing Address Detail
| Address | 3335 Palm Dr Apt 1 |
|---|---|
| City | Rapid City |
| State | South Dakota (SD) |
| Post Code | 577012069 |
| Phone Number | 6053908545 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapy Assistant |
|---|---|
| Taxonomy | 225200000X |
| Licence No | 224 |
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Definition: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Post |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Kelly Lynn Roach by the Centers for Medicare & Medicaid Services?
The Kelly Lynn Roach has been issued the NPI (National Provider Identifier) 1689862658, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Kelly Lynn Roach's facilities are situated?
The facilities of Kelly Lynn Roach are physically located at the following address: 3335 Palm Dr Apt 1, Rapid City, SD, 577012069.
What is Kelly Lynn Roach's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kelly Lynn Roach's specialized field of practice is Physical Therapy Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 225200000X.
When did the Kelly Lynn Roach receive its 1689862658?
The Kelly Lynn Roach was issued its 1689862658 on 2007-10-04, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Kelly Lynn Roach most recently updated or revised?
The information pertaining to Kelly Lynn Roach, including its address, specialty, and other relevant details, was last updated or revised on 2007-10-04.
NPI Number: 1699778829
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