Provider Demographics
NPI:1124541297
Name:OTTO, LEA (LMT)
Entity Type:Individual
Prefix:
First Name:LEA
Middle Name:
Last Name:OTTO
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1120 NORMAN ST UNIT C6
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99504-2381
Mailing Address - Country:US
Mailing Address - Phone:907-570-4057
Mailing Address - Fax:
Practice Address - Street 1:1120 NORMAN ST UNIT C6
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99504-2381
Practice Address - Country:US
Practice Address - Phone:907-570-4057
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK108927225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist