Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tamara Glee Otteson, PTA

Individual provider Physical Therapy Assistant · NPI 1912783598

Tamara Glee Otteson, PTA is a Physical Therapy Assistant in Apple Valley, Minnesota. Licensed in Minnesota. Registered with an NPI since 2023.

Licensed in
MN
In the registry since
2023
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

14650 Garrett Ave
Apple Valley, MN 55124-7543
Phone: (952) 236-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence A965 (MN)

Record details

NPI number1912783598
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedSeptember 7, 2023
Last updated in NPPESSeptember 8, 2023
Certification dateSeptember 8, 2023
Mailing address21109 Honeycomb Way, Lakeville, MN 55044-6401

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