Individual
CHRISTINE ODELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, ATC
Contact information
Practice address
1201 5TH STREET, MSU DENVER, DENVER, CO 80204
(303) 556-3148
Mailing address
PO BOX 173362, MSU DENVER CAMPUS BOX 25, DENVER, CO 80217-3362
(303) 556-3148
(303) 556-8301
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-753
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AT-753
COLORADO DEPARTMENT OF REGULATORY AGENCIES
CO
Enumeration date
01/25/2016
Last updated
01/25/2016
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