| NPI | 1114456076 |
|---|---|
| Former Name | CASEY OTTENS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 005429) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 024406) |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2024-09-30 |