NPI 1912333667

Jessica Lee Otter, LMT

Practitioner Massage Therapist Marion, IA

Practice location

Address: 1260 35th St STE 1, Marion, IA 52302-1712
Phone: (319) 377-7331

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 006645 (IA)

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Registry record

NPI: 1912333667
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Sep 2013
Record last updated: 25 Sep 2013

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.