Most Relevant Information
Provider Data
| NPI Number: | 1003242819 |
| Provider Name: | AYRIAN SHALEE OTT LMP |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | MA00010715 |
Most Important Dates
| Enumeration Date: | 09/25/2013 |
| Last Updated: | 09/25/2013 |
Provider Practice Location
10024 MAIN ST
SUITE 2 C
BOTHELL
WA
980113464
Practice Location Phone/Fax
| Phone: | 4254851413 |
| Fax: |
Provider Mailing Location
7427 NE 144TH PL
KIRKLAND
WA
980344920
Provider Mailing Phone/Fax
| Phone: | 2062953634 |
| Fax: |