Individual
KATIE ANN OTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1552 COFFEE RD STE 200, MODESTO, CA 95355-3122
(209) 248-7168
(209) 846-9641
Mailing address
1001 SYLVAN AVE STE A, MODESTO, CA 95350-1699
(209) 248-7168
(209) 846-9641
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86062158
—
Other
Enumeration date
10/18/2019
Last updated
05/07/2025
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