Individual
BLAKE ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 PARK ST, HAYS, KS 67601-4009
(785) 628-5366
Mailing address
600 PARK ST, HAYS, KS 67601-4009
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4158
KS
Other
Enumeration date
07/18/2017
Last updated
02/06/2023
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