Individual provider · Type 1 NPI

Kelsey Grace Otteni, LMT

Massage Therapist · Medford, OR

NPI number 1639680903 Active

Practice location

824 E Main St Ste 104
Medford, OR 97504-7135

Call (541) 773-5132 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X23633 (OR)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1639680903

Kelsey Grace Otteni, LMT's National Provider Identifier is 1639680903, issued on Oct 13, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Medford, OR. The record was last updated on Oct 13, 2017.