NPI 1366805467

Jonathan Carl Otto, DPT

Practitioner Physical Therapist Lakeside, MT

Practice location

Address: 306 Stoner Loop Suite 3, Lakeside, MT 59922-8600
Phone: (406) 844-0744
Fax: (406) 844-0759
Mailing address: 148 E Arapahoe St, Thermopolis, WY 82443-2402

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 11007 (MT)

Other Physical Therapist providers in Montana →

Registry record

NPI: 1366805467
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Apr 2016
Record last updated: 18 May 2021

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.