IndividualActive
Emilie Otis, PTA
NPI 1164636015 · Physical Therapy Assistant · Homer, AK
Provider details
- NPI number
- 1164636015
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- 1454 (AK)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
4300 Bartlett Street
Homer, AK 99603
Phone: (907) 235-0370
Approximate (ZIP-level) locationGet directions
Mailing address
41364 Charlie Drive
Homer, AK 99603
Registry dates
- Enumerated
- 2007-05-10
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.