Individual
JAMIE OTTAVIANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3015 E SKELLY DR STE 2040B, TULSA, OK 74105-6317
(918) 260-8083
Mailing address
6109 E 4TH TER, TULSA, OK 74112
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
157146
OK
Other
Enumeration date
04/02/2026
Last updated
04/02/2026
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