# DR. RAYMOND JAMES OTTOMEYER III

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1134235799
- **Gender:** Man
- **Credential:** D.C.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 006182 | MO | Yes |

## Other

- **Enumeration date:** 08/23/2006
- **Last updated:** 02/24/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 19387 | BLUECROSS PROVIDER NUMBER | MO |
| 05 | — | 230079324 | — | MO |
| 01 | — | 248480 | HEALTHLINK PROVIDER NUMBE | MO |
| 01 | — | 5064408 | AETNA PROVIDER NUMBER | MO |