Individual
KELLY E OTTIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 ATHLETIC ST, BOX 6668, MARS HILL, NC 28754-9134
(828) 689-1217
Mailing address
695 BAILEY ST, MARS HILL, NC 28754-6208
(828) 380-0973
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0797
NC
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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