Individual provider · Type 1 NPI

Kathleen C. Odin, PTA

Physical Therapy Assistant · Roseville, MN

NPI number 1861696148 Active

Practice location

2727 N Victoria, Lakeridge HC Center Aegis Therapies
Roseville, MN 55113

Mailing address

8780 Rainier Alcove
Woodbury, MN 55125

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X250019 (WI)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1861696148

Kathleen C. Odin, PTA's National Provider Identifier is 1861696148, issued on Jun 12, 2007. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Roseville, MN. The record was last updated on Jul 8, 2007.