NICOLE ROACH, PTA, LMT
Physical Therapy Assistant
Active
Individual
NPI: 1275004210
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Therapy Assistant | 225200000X | Yes | 2018037409 (MO) |
Frequently Asked Questions
NPI 1275004210 is the National Provider Identifier for NICOLE ROACH, PTA, LMT, a Physical Therapy Assistant provider located in Jefferson City, MO. This NPI was enumerated on December 17, 2018.
NICOLE ROACH, PTA, LMT practices at 1720 VIETH DR, Jefferson City, MO 65109.
Quick Facts
- NPI
- 1275004210
- Type
- Individual
- Enumerated
- Dec 17, 2018
- Last Updated
- Dec 17, 2018
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