Angela Odom
Massage Therapist in Graniteville, SC. Individual provider (NPI-1).
NPI number1750831707
StatusActive
Last updated in NPPESOct 13, 2016
Details
- NPI
- 1750831707
- Entity type
- Individual (NPI-1)
- Name
- Angela Odom
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 13, 2016
- Last updated
- Oct 13, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 5656 | SC | Yes |
| 225700000X | Massage Therapist | MT005041 | GA |
Practice location
195 Fioli CirGraniteville, SC 29829-3991
Phone 803-640-7708
Mailing address
195 Fioli CirGraniteville, SC 29829-3991
Phone 803-640-7708
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