Individual provider · Type 1 NPI
Jesse Jonathan Odell, DC
Chiropractor · Buffalo, NY
NPI number
1962054742
Active
Practice location
295 Main St
Buffalo, NY 14203-2412
Fax (716) 322-0361
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | X013265-01 (NY) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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- Deborah M. Lovallo, LMTMassage Therapist Buffalo, NY NPI 1164659850
- Valerie Millard, LMTMassage Therapist Buffalo, NY NPI 1336326073
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About NPI 1962054742
Jesse Jonathan Odell, DC's National Provider Identifier is 1962054742, issued on Jul 12, 2019. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Buffalo, NY. The record was last updated on Jul 12, 2019.