Individual
KYLIE OTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1880 N PERRY ST STE 100, OTTAWA, OH 45875-1164
(419) 523-9003
Mailing address
9075 ROAD X, LEIPSIC, OH 45856-9275
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA013042
OH
Other
Enumeration date
02/05/2026
Last updated
02/05/2026
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