Individual
ELAINE MARIE ODUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1605 AVENUE OF CHAMPIONS, BOWLING GREEN, KY 42101-6412
(270) 745-3743
(270) 745-4106
Mailing address
255 WALNUT CREEK CT, BOWLING GREEN, KY 42101-8179
(913) 375-5958
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/20/2017
Last updated
07/20/2017
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