Individual
JESSICA LEE OTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
1260 35TH ST STE 1, MARION, IA 52302-1712
(319) 377-7331
Mailing address
1260 35TH ST STE 1, MARION, IA 52302-1712
(319) 377-7331
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
006645
IA
Other
Enumeration date
09/25/2013
Last updated
09/25/2013
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