IndividualActive
Jeffrey Otte, ATC
NPI 1609143098 · Athletic Trainer · St. Louis Park, MN
Provider details
- NPI number
- 1609143098
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
5353 Gamble Drive Suite 202
Team Spine
St. Louis Park, MN 55416
Phone: (952) 697-5095
Approximate (ZIP-level) locationGet directions
Mailing address
10544 Lee Dr
Eden Prairie, MN 55347-4814
Registry dates
- Enumerated
- 2011-11-29
- Last updated
- 2011-11-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.