Abigail Roth, PTA

NPI #1306726211 in Jackson, Missouri

Provider Information

NPI Number: 1306726211
Entity Type: Individual
Name: Abigail Roth, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Sep 3, 2025
Last Updated: Sep 3, 2025

Practice Location

Address: 1502 W JACKSON BLVD
City: Jackson
State: Missouri
ZIP Code: 63755-3010
Phone: (573) 587-2520

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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