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Individual

KAREN LYNNE ODOM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T., M.O.M.T

Contact information

Practice address
4777 ANDREW JACKSON PKWY STE 101A-B, HERMITAGE, TN 37076-1323
(615) 292-0199
(615) 292-0357
Mailing address
PO BOX 40525, NASHVILLE, TN 37204-0525
(615) 292-2209
(615) 292-0357

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT0000003363
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3646097
PTAN
TN
01
4126438
BCBS INDIVIDUAL
TN
Enumeration date
10/17/2005
Last updated
12/09/2025
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