Johnathan Derek Roarke, PTA
NPI #1760369862 in Bowling Green, Kentucky
Provider Information
- NPI Number
- 1760369862
- Entity Type
- Individual
- Name
- Johnathan Derek Roarke, PTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Non-emergency Medical Transport (VAN)
- Credential
- PTA
- Enumeration Date
- Aug 19, 2025
- Last Updated
- Aug 19, 2025
Practice Location
- Address
- 116 PHELPS CT
- City
- Bowling Green
- State
- Kentucky
- ZIP Code
- 42104-7444
- Phone
- (270) 935-8077
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-emergency Medical Transport (VAN) |
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