Organization
ODOM SPORTS MEDICINE, P.A.
Active
Other names
Odom Health & Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
CAITLYN LARSEN (BILLING SUPERVISOR)
(612) 619-8674
Entity
Organization
Contact information
Practice address
6545 FLYING CLOUD DR STE 201, EDEN PRAIRIE, MN 55344-3356
(952) 224-1919
(612) 999-1943
Mailing address
6545 FLYING CLOUD DR STE 201, EDEN PRAIRIE, MN 55344-3356
(952) 224-1919
(612) 999-1943
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
07/27/2006
Last updated
04/29/2026
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