Individual provider · Type 1 NPI

Carly Rothert

Student in an Organized Health Care Education/Training Program · Dayton, OH

NPI number 1154262129 Active

Practice location

1 Wyoming St
Dayton, OH 45409-2722

Call (419) 559-9713 Map

Mailing address

4030 Shell Ave
Dayton, OH 45415-1456

Other practice locations

  • 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 · (937) 522-2778

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1154262129

Carly Rothert's National Provider Identifier is 1154262129, issued on Apr 3, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Dayton, OH. The record was last updated on Sep 1, 2026.