Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ODOM SPORTS MEDICINE, P.A.
Active OrganizationODOM SPORTS MEDICINE, P.A. is a Sports Medicine organization located in WACONIA, Minnesota. NPI 1740625870 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · WACONIA, MN
Registration Details
- NPI Number
- 1740625870
- Provider Type
- Organization
- NPI Issued
- May 2, 2013 (13.296979501967 yrs)
- Last Updated
- May 2, 2013
Practice Information
- Address
-
500 S CHERRY STWACONIA, MN, 553874515Browse MN providers · Browse ZIP 55387
- Phone
- 9528564722
- Primary Specialty
-
Sports Medicine
207QS0010X
- Additional Specialty
- Occupational Therapist
- Additional Specialty
- Sports Medicine
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.