Individual
ASHLEY MICHELLE OTTENSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T
Contact information
Practice address
316 E FOX RD, YORKVILLE, IL 60560-1515
(630) 373-2983
Mailing address
316 E FOX RD, YORKVILLE, IL 60560-1515
(630) 373-2983
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227016131
IL
Other
Enumeration date
03/31/2015
Last updated
03/31/2015
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