Individual
AYRIAN SHALEE OTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
10024 MAIN ST, SUITE 2 C, BOTHELL, WA 98011-3464
(425) 485-1413
Mailing address
7427 NE 144TH PL, KIRKLAND, WA 98034-4920
(206) 295-3634
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00010715
WA
Other
Enumeration date
09/25/2013
Last updated
09/25/2013
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