Odom Sports Medicine, PA
Odom Sports Medicine, PA is a Sports Medicine (Family Medicine) Physician in Waconia, Minnesota. Registered with an NPI since 2013.
- In the registry since
- 2013
- Specialties on file
- 3
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
500 S Cherry StWaconia, MN 55387-4515
Phone: (952) 856-4722
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Sports Medicine (Family Medicine) Physician (primary) | Taxonomy 207QS0010X |
|---|---|
| Physical Therapist | Taxonomy 225100000X |
| Occupational Therapist | Taxonomy 225X00000X |
Record details
| NPI number | 1740625870 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Odom Sports Medicine, PA |
| Authorized official | John Odom — President · (952) 224-1919 |
| Other names | Odom Health And Wellness |
| NPI enumerated | May 2, 2013 |
| Last updated in NPPES | May 2, 2013 |
| Mailing address | 10500 Wayzata Blvd, Minnetonka, MN 55305-1511 |