Individual
TASHA ODOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
731 MIDDLE CREEK RD, SEVIERVILLE, TN 37862-5016
(423) 000-0000
Mailing address
731 MIDDLE CREEK RD, SEVIERVILLE, TN 37862-5016
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4127
TN
Other
Enumeration date
01/04/2019
Last updated
01/04/2019
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