Individual provider · Type 1 NPI
Angela Odom
Massage Therapist · Graniteville, SC
NPI number
1750831707
Active
Practice location
195 Fioli Cir
Graniteville, SC 29829-3991
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 5656 (SC) |
| Massage Therapist | 225700000X | MT005041 (GA) |
Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
About NPI 1750831707
Angela Odom's National Provider Identifier is 1750831707, issued on Oct 13, 2016. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Graniteville, SC. The record was last updated on Oct 13, 2016.