Individual provider · Type 1 NPI
Tate Odell
Student in an Organized Health Care Education/Training Program · Snyder, NY
NPI number
1780103093
Active
Practice location
35 Rose Ct Apt 1
Snyder, NY 14226-3661
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | None listed |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
About NPI 1780103093
Tate Odell's National Provider Identifier is 1780103093, issued on Sep 18, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Snyder, NY. The record was last updated on Sep 18, 2017.