NPI 1558588905

Otter & Trout Trading Co INC

Organisation Massage Therapist Gainesville, FL

Practice location

Address: 1135 NW 23rd Ave STE F, Gainesville, FL 32609-3449
Phone: (352) 514-2375
Mailing address: 1623 NW 156th Ave, Gainesville, FL 32609-4057

Authorised official

Name: Kimberli White Otter
Title: Ceo (massage Therapist)
Phone: (352) 485-3599

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence MA29294 (FL)

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Registry record

NPI: 1558588905
Entity type: Organization
NPI issued: 19 Apr 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.