Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MICHAEL ODOM JR., DPT
ActiveMR. MICHAEL ODOM JR., DPT is a Physical Therapy Assistant healthcare provider located in WINSTON SALEM, North Carolina. NPI 1205245552 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · WINSTON SALEM, NC
Registration Details
- NPI Number
- 1205245552
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 11, 2014 (12.022341080659 yrs)
- Last Updated
- Jun 15, 2021
- License
-
P15041 (NC)
Practice Information
- Address
-
3474 ROBINHOOD RDWINSTON SALEM, NC, 271064702Browse NC providers · Browse ZIP 27106
- Phone
- 3367749977
- Fax
- 3367186798
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in WINSTON SALEM, NC
| Name | Credential | NPI |
|---|---|---|
| MS. MARY ANN BUSH | PT | 1033119375 |
| MR. MARC RANDOLPH FARROW | PT | 1699759969 |
| MRS. MELISSA DAWN BURGEMEISTER | PT, DPT, ATC, LAT | 1548235658 |
| AMY DEVEREAUX | PT | 1942262514 |
| ELIZABETH SPOON | PT | 1154383834 |
| SHANNON KIMEL | PT | 1568424125 |
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.