Provider Demographics
NPI:1215177241
Name:ROTE, KASI AILEEN (DC)
Entity type:Individual
Prefix:MRS
First Name:KASI
Middle Name:AILEEN
Last Name:ROTE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18333 PRESTON ROAD
Mailing Address - Street 2:#240
Mailing Address - City:DALLLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75252
Mailing Address - Country:US
Mailing Address - Phone:972-818-9900
Mailing Address - Fax:972-818-9900
Practice Address - Street 1:18333 PRESTON ROAD
Practice Address - Street 2:#240
Practice Address - City:DALLLAS
Practice Address - State:TX
Practice Address - Zip Code:75252
Practice Address - Country:US
Practice Address - Phone:972-818-9900
Practice Address - Fax:972-818-9900
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-04
Last Update Date:2009-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6072111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor