Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Odom Sports Medicine, PA

Organization Sports Medicine (Family Medicine) Physician · NPI 1275557886

Odom Sports Medicine, PA is a Sports Medicine (Family Medicine) Physician in Eden Prairie, Minnesota. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

6545 Flying Cloud Dr Ste 201
Eden Prairie, MN 55344-3356
Phone: (952) 224-1919
Fax: (612) 999-1943
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X

Record details

NPI number1275557886
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Caitlyn Larsen — Billing Supervisor · (612) 619-8674
Other names Odom Health & Wellness; Odom Health & Wellness
NPI enumeratedJuly 27, 2006
Last updated in NPPESApril 29, 2026
Certification dateApril 29, 2026
Mailing address6545 Flying Cloud Dr Ste 201, Eden Prairie, MN 55344-3356

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