Individual
RACHEL GENE MARIE ROTHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9042 COLUMBIA AVE, MUNSTER, IN 46321-2927
(219) 836-4461
Mailing address
410 E 1300 N, CHESTERTON, IN 46304-9611
(219) 841-1416
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36003203A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/05/2019
Last updated
07/23/2019
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