Individual
HEATHER ODELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
604 MAIN ST, NEODESHA, KS 66757-1633
(620) 325-2253
Mailing address
604 MAIN ST, NEODESHA, KS 66757-1633
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-02952
KS
Other
Enumeration date
08/02/2016
Last updated
10/15/2019
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