Otto, Krystel Dawn

Otto, Krystel Dawn is an individual health care provider with primary practice located at 3509 Dewey St , Manitowoc WI 54220-5813. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Otto, Krystel Dawn can be contacted via phone (920) 686-5731.

Contact Information

Primary practice address
3509 Dewey St Manitowoc WI 54220-5813
Phone: (920) 686-5731
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 883039 Wisconsin

Profile Details

NPI number 1598884140
LBN Legal business name Otto, Krystel Dawn
Credentials MS,ATC, LAT
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2007
Last updated Feb 19th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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