Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kristin A Rose, DT

Individual provider Developmental Therapist · NPI 1417590506

Kristin A Rose, DT is a Developmental Therapist in Champaign, Illinois. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

1304 W Bradley Ave
Champaign, IL 61821-2035
Phone: (217) 356-9176
Fax: (217) 398-7137
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental Therapist (primary) Taxonomy 222Q00000X

Record details

NPI number1417590506
Entity typeIndividual (Type 1)
GenderFemale
Credentials DT
Sole proprietorNo
NPI enumeratedOctober 22, 2019
Last updated in NPPESOctober 22, 2019

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