Individual
MRS. CYNTHIA LOUISE ODELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
000865
CO
225700000X
Massage Therapist
Primary
12368
OR
Other
Enumeration date
12/04/2007
Last updated
03/16/2021
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