IndividualActive
Amanda Roth
NPI 1669107892 · Independent Duty Medical Technicians · Crestview, FL
Provider details
- NPI number
- 1669107892
- Entity type
- Individual
- Primary specialty
- Independent Duty Medical TechniciansOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
703 Majestic Dr
Crestview, FL 32536-2254
Phone: (210) 899-9568
Approximate (ZIP-level) locationGet directions
Mailing address
703 Majestic Dr
Crestview, FL 32536-2254
Registry dates
- Enumerated
- 2022-07-21
- Last updated
- 2022-07-21
- Certified
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.