KELSEY GRACE OTTENI LMT NPI 1639680903

NPI Information

NPI: 1639680903
Provider Name: KELSEY GRACE OTTENI, LMT
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
824 E MAIN ST STE 104
MEDFORD, OR
ZIP 97504
Phone: (541) 773-5132
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Kelsey Grace Otteni, LMT is a massage therapist in Medford, OR. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. Kelsey Grace Otteni, LMT NPI is 1639680903. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

824 E MAIN ST STE 104
MEDFORD, OR
ZIP 97504-135
Phone: (541) 773-5132

The enumeration date for this NPI number is 10/13/2017 and was last updated on 10/13/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225700000X	Massage Therapist		23633	OREGON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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