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Contact Information

KIMBERLY A ROACH, D.P.T.
1316 EAST KENTUCKY AVE
RUSTON, LA71270
 Phone: 318-224-9081
 Fax: 318-224-9083
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for KIMBERLY A ROACH · (Female)

NPI Number 1295961910
Status Active
Credentials D.P.T.
Entity Individual
Enumeration date 06/09/2009
Last updated 02/07/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • LA License # 07573
  • LA Medicaid 1884600
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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