Individual
MICHELLE ODEGARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
925 E MAIN ST, MERRILL, WI 54452-2502
(715) 218-8400
Mailing address
1100 LAKE VIEW DR, WAUSAU, WI 54403-6785
(715) 848-4308
(715) 842-8467
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
70119
WI
225700000X
Massage Therapist
Primary
14356-146
WI
Other
Enumeration date
02/21/2011
Last updated
04/30/2019
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