RUSS ODOM, CMT, CMMP

Massage Therapist

Active Individual
NPI: 1104172253

Practice Address

2128 CRENSHAW ST
San Diego, CA 92105

Phone: (619) 339-1306

Specialties

Specialty Code Primary License
Massage Therapist 225700000X Yes 30211 (CA)

Frequently Asked Questions

NPI 1104172253 is the National Provider Identifier for RUSS ODOM, CMT, CMMP, a Massage Therapist provider located in San Diego, CA. This NPI was enumerated on July 26, 2012.
RUSS ODOM, CMT, CMMP practices at 2128 CRENSHAW ST, San Diego, CA 92105.

Quick Facts

NPI
1104172253
Type
Individual
Enumerated
Jul 26, 2012
Last Updated
Jul 26, 2012

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