Individual provider · Type 1 NPI

Kelly Ann Roth, CPO

Orthotist · Crown Point, IN

NPI number 1790209864 Active

Practice location

1450 E Joliet St Ste 206
Crown Point, IN 46307-4726

Fax (219) 301-8734

Specialties and licenses

TaxonomyCodeLicense
Orthotist Primary 222Z00000X213000351 (IL)
Prosthetist 224P00000X211000319 (IL)

Orthotist: A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement th…

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About NPI 1790209864

Kelly Ann Roth, CPO's National Provider Identifier is 1790209864, issued on Aug 1, 2017. The primary taxonomy on file is Orthotist (222Z00000X), and the practice location is in Crown Point, IN. The record was last updated on Jul 25, 2023.