Individual
KELSEY GRACE OTTENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
824 E MAIN ST STE 104, MEDFORD, OR 97504-7135
(541) 773-5132
Mailing address
824 E MAIN ST STE 104, MEDFORD, OR 97504-7135
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
23633
OR
Other
Enumeration date
10/13/2017
Last updated
10/13/2017
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