Active NPIIndividual provider

Miss Tiela L Otto, PTA

Physical Therapy Assistant in Laconia, New Hampshire

NPI Number1164951018
Practice location
175 Blueberry Ln, Laconia, NH 03246-2918
Fax
—
Last updated
June 5, 2017

Tiela Lynn Otto is a Physical Therapy Assistant based in Laconia, NH. Tiela Lynn Otto practices in Laconia, NH and has the professional credentials of PTA. The NPI Number for Tiela Lynn Otto is 1164951018 and holds a License No. 1191 (NH). The current practice location address for Tiela Lynn Otto is 175 Blueberry Ln, Laconia, NH 03246-2918 and can be reached out via phone at 603-524-3340.

Provider Profile Details

NPI Number
1164951018
Provider Name
Tiela Lynn Otto
Credential
PTA
Provider Entity Type
Individual
Gender
Female
Address
175 Blueberry Ln, Laconia, NH 03246-2918
Phone Number
603-524-3340
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
No
Provider Enumeration Date
June 5, 2017
Last Update Date
June 5, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
175 Blueberry Ln
Laconia, NH 03246-2918
Zip
03246-2918
Phone Number
603-524-3340
Laconia, NH 03246Get directions →

Provider Business Mailing Address Details

Address
Po Box 1114
Laconia, NH 03247-1114
City
Laconia
State
NH
Zip
03247-1114

License Information

License Number
1191
License State
NH
Taxonomy
Physical Therapy Assistant · 225200000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Miss Tiela L Otto, PTA?

The NPI number of Miss Tiela L Otto, PTA is 1164951018. It was assigned on June 5, 2017 and is currently active in the NPPES registry.

What is the specialty of Miss Tiela L Otto, PTA?

Miss Tiela L Otto, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in NH under license number 1191.

Where does Miss Tiela L Otto, PTA practice?

The practice location is 175 Blueberry Ln, Laconia, NH 03246-2918. The office can be reached at 603-524-3340 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164951018 directly on the NPPES registry website.

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