Individual provider · Type 1 NPI

Braeden Baker Ott

Student in an Organized Health Care Education/Training Program · Hilton, NY

NPI number 1063986222 Active

Practice location

44 N Greece Rd
Hilton, NY 14468-8914

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Athletic Trainer 2255A2300XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

About NPI 1063986222

Braeden Baker Ott's National Provider Identifier is 1063986222, issued on Jan 21, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Hilton, NY. The record was last updated on Jan 22, 2019.