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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ALEXIS KATHRYN OTTO, PA-C

Active

ALEXIS KATHRYN OTTO, PA-C is a Physician Assistant healthcare provider located in GRAND RAPIDS, Michigan. NPI 1164236030 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · GRAND RAPIDS, MI

Registration Details

NPI Number
1164236030
Provider Type
Individual
Gender
Female
NPI Issued
Feb 3, 2025 (1.5478895327481 yrs)
Last Updated
Jul 8, 2025
License
5601013018 (MI)

Practice Information

Address
100 MICHIGAN ST NE
GRAND RAPIDS, MI, 495032560
Browse MI providers · Browse ZIP 49503
Phone
6164860310
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in GRAND RAPIDS, MI

Name Credential NPI
MRS. JACQUELINE S JOHANSON P.A.-C 1952304982
RENEE K SALYER P.A-C 1760481386
MR. JOHN C HENDRICKS PA-C 1992705610
CHERYL ANN SCHMITT PA-C 1851391031
LARA ELIZABETH EVANS PA-C 1356343933
BENJAMIN P LOYD PA-C 1174515167
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.