Misty L Roberts, PTA

NPI #1508057852 in Marion, Kentucky

Provider Information

NPI Number: 1508057852
Entity Type: Individual
Name: Misty L Roberts, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Aug 1, 2007
Last Updated: Aug 1, 2007

Practice Location

Address: 2491 BRIDWELL LOOP
City: Marion
State: Kentucky
ZIP Code: 42064-6162
Phone: (270) 965-2475

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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