Doctor Name: | JAMI OTKE |
NPI Number: | 1700214715 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 2002019598 |
Business Practice Address: | 3108 W Truman Blvd Jefferson City, MO - 651094918 |
Business Phone Number: | 5738933063 |
Business Fax Number: | |
Mailing Address: | 6526 Hansen Ter, JEFFERSON CITY |
State: | MO |
Postal Code: | 651093295 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 10/30/2013 |
NPI Last Update Date: | 10/30/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2002019598 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |