Individual
VICKI ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2000 E LAYTON AVE, SUITE 160, ST FRANCIS, WI 53235-6053
(414) 747-8400
(414) 747-8414
Mailing address
2000 E LAYTON AVE, SUITE 160, ST FRANCIS, WI 53235-6053
(414) 747-8400
(414) 747-8414
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
4290-24
WI
2251X0800X
Orthopedic Physical Therapist
Primary
4290-24
WI
Other
Enumeration date
11/09/2016
Last updated
01/10/2022
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