IndividualActive
Abigail Roth, PTA
NPI 1306726211 · Physical Therapy Assistant · Jackson, MO
Provider details
- NPI number
- 1306726211
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- 2024003805 (MO)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1502 W Jackson Blvd
Jackson, MO 63755-3010
Phone: (573) 587-2520
Fax: (573) 243-3413
Approximate (ZIP-level) locationGet directions
Mailing address
1502 W Jackson Blvd
Jackson, MO 63755-3010
Registry dates
- Enumerated
- 2025-09-03
- Last updated
- 2025-09-03
- Certified
- 2025-09-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.