Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOSHUA TAYLOR ODUM, DPT
Active Sole ProprietorDR. JOSHUA TAYLOR ODUM, DPT is a Physical Therapy Assistant healthcare provider located in MARION, Illinois. NPI 1174304828 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · MARION, IL
Registration Details
- NPI Number
- 1174304828
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 9, 2023 (2.8582399009686 yrs)
- Last Updated
- Oct 9, 2023
- License
-
070027222 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3116 WILLIAMSON COUNTY PKWYMARION, IL, 629595212Browse IL providers · Browse ZIP 62959
- Phone
- 6189938600
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in MARION, IL
| Name | Credential | NPI |
|---|---|---|
| MRS. HOLLY ROXANNE RUSSELL | DPT | 1689673410 |
| BRIAN THOMAS TAYLOR | P.T. | 1770522088 |
| IVY GALLARDO DONNELLY | PT | 1134134992 |
| LUIS JIMENEZ | PT | 1851307839 |
| MRS. JENNIFER LYNN MASTERSON | PT | 1124110051 |
| MRS. KENDRA SUE SMITH | MPT | 1235222779 |
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.