Odom Health & Wellness | |
6545 Flying Cloud Dr Ste 201 Eden Prairie MN 55344-3356 | |
(952) 224-1919 | |
Not Available |
Full Name | Odom Health & Wellness |
---|---|
Speciality | Family Medicine |
Location | 6545 Flying Cloud Dr Ste 201, Eden Prairie, Minnesota |
Authorized Official Name and Position | John H Odom (PRESIDENT) |
Authorized Official Contact | 9522241919 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Odom Health & Wellness 10653 Wayzata Blvd Ste 200 Minnetonka MN 55305-1543 Ph: (952) 224-1919 | Odom Health & Wellness 6545 Flying Cloud Dr Ste 201 Eden Prairie MN 55344-3356 Ph: (952) 224-1919 |
NPI Number | 1275557886 |
---|---|
Provider Enumeration Date | 07/27/2006 |
Last Update Date | 04/23/2024 |
Medicare PECOS PAC ID | 0143485607 |
---|---|
Medicare Enrollment ID | O20120706000533 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275557886 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QS0010X | Family Medicine - Sports Medicine | (* (Not Available)) | Primary |
Provider Name | John H. L. Odom |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1215953732 PECOS PAC ID: 3274502455 Enrollment ID: I20040927000127 |
Provider Name | Chad R Fait |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1144303454 PECOS PAC ID: 3173521374 Enrollment ID: I20061127000012 |
Provider Name | Sara J Welder |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1558451807 PECOS PAC ID: 8123020831 Enrollment ID: I20070209000092 |
Provider Name | Meghan A Klein |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1245596196 PECOS PAC ID: 8224294194 Enrollment ID: I20120720000222 |
Provider Name | Trygve J Lundgren |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1942541297 PECOS PAC ID: 8628215407 Enrollment ID: I20130515000354 |
Provider Name | Christina M Leuzzo |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1174758551 PECOS PAC ID: 7416241120 Enrollment ID: I20160901000330 |
Provider Name | Courtney A Karalus |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1194270850 PECOS PAC ID: 6103113824 Enrollment ID: I20160927000191 |
Provider Name | Trent D Stensrud |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1194107243 PECOS PAC ID: 0941519748 Enrollment ID: I20160927001977 |
Provider Name | Nancy Ann Mack |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1528573458 PECOS PAC ID: 3072872167 Enrollment ID: I20180118000320 |
Provider Name | Danielle M Prom |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1306369319 PECOS PAC ID: 1658646823 Enrollment ID: I20180209001821 |
Provider Name | Katherine Price |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1972008522 PECOS PAC ID: 5092070912 Enrollment ID: I20180524001570 |
Provider Name | Allison Marie Holzwarth |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1881185353 PECOS PAC ID: 5193075745 Enrollment ID: I20180904000285 |
Provider Name | Andrew J Moran |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1487145405 PECOS PAC ID: 7810247020 Enrollment ID: I20180910002675 |
Provider Name | Charlotte A Meyer |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1255810222 PECOS PAC ID: 7113279803 Enrollment ID: I20181008002051 |
Provider Name | Jessica Ann Swink |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1467796607 PECOS PAC ID: 9537413935 Enrollment ID: I20181126000252 |
Provider Name | Jamie Nichols |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1356822514 PECOS PAC ID: 5092069328 Enrollment ID: I20181126001468 |
Provider Name | Dustin M Evans |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1285868992 PECOS PAC ID: 3375768161 Enrollment ID: I20181226001186 |
Provider Name | Joshua D Fingerman |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1083004303 PECOS PAC ID: 8527305630 Enrollment ID: I20190128003354 |
Provider Name | Katie Lynn Meyers |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1679825558 PECOS PAC ID: 5799936845 Enrollment ID: I20190207002822 |
Provider Name | Rachel A Hansen |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1669945077 PECOS PAC ID: 0244578508 Enrollment ID: I20190212000312 |
Provider Name | Amanda Margaret Lane |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1780248419 PECOS PAC ID: 1759614696 Enrollment ID: I20190610001119 |
Provider Name | Gabriel Douglas Orem |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1649739103 PECOS PAC ID: 9234469198 Enrollment ID: I20190919002485 |
Provider Name | Cory J Jones |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1407339864 PECOS PAC ID: 0042540866 Enrollment ID: I20190920003159 |
Provider Name | Christa Marie Haskins |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1063463404 PECOS PAC ID: 6002146644 Enrollment ID: I20190925001956 |
Provider Name | Dianna Knack |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1306490628 PECOS PAC ID: 0547591349 Enrollment ID: I20191009001042 |
Provider Name | Stefanie El-darazi |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1235538653 PECOS PAC ID: 5890913727 Enrollment ID: I20200115001072 |
Provider Name | Michaela Krumholz |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1639719776 PECOS PAC ID: 8325473341 Enrollment ID: I20200122001615 |
Provider Name | Caroline Jasper |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1184234692 PECOS PAC ID: 5698192599 Enrollment ID: I20200824001567 |
Provider Name | Hannah Marie Kaldahl |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1508478413 PECOS PAC ID: 7315364593 Enrollment ID: I20200902001849 |
Provider Name | James I Joseph |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1104381680 PECOS PAC ID: 2163849183 Enrollment ID: I20200904000031 |
Provider Name | Jenna Green |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1609488121 PECOS PAC ID: 8527486547 Enrollment ID: I20200908002059 |
Provider Name | Paul Michael Hegstrom |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1316557671 PECOS PAC ID: 7618396151 Enrollment ID: I20201001002012 |
Provider Name | Kate Valen |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1902254907 PECOS PAC ID: 1557771474 Enrollment ID: I20201104002729 |
Provider Name | Kathryn Ourada |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1770178691 PECOS PAC ID: 3173939709 Enrollment ID: I20210306000025 |
Provider Name | Carrie Kelley |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1336396365 PECOS PAC ID: 0042627648 Enrollment ID: I20210326001747 |
Provider Name | Alexandra Heinrich |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1477147551 PECOS PAC ID: 7810305265 Enrollment ID: I20210423000209 |
Provider Name | Emily L Parnell |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1700419207 PECOS PAC ID: 7618386798 Enrollment ID: I20210430000388 |
Provider Name | Maddie Schlossmacher |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1760064703 PECOS PAC ID: 9133538044 Enrollment ID: I20210505002627 |
Provider Name | Morgan Shannon |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1760066880 PECOS PAC ID: 8820497878 Enrollment ID: I20210525002327 |
Provider Name | Alyssa Cleereman |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1184298325 PECOS PAC ID: 3375942220 Enrollment ID: I20210525002803 |
Provider Name | Lucas Blanchard |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1932774874 PECOS PAC ID: 9436558996 Enrollment ID: I20210603001131 |
Provider Name | Lani Michelle Hanson |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1083280077 PECOS PAC ID: 6002216298 Enrollment ID: I20210609001672 |
Provider Name | Melinda Holmstadt |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1669042818 PECOS PAC ID: 7012319932 Enrollment ID: I20210714001472 |
Provider Name | Morgan Lea Scheid |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1396337366 PECOS PAC ID: 7719380989 Enrollment ID: I20210726001834 |
Provider Name | Sydney Rae Smith |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1891461430 PECOS PAC ID: 5799181657 Enrollment ID: I20210901002422 |
Provider Name | Kristina Fiscus |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1205483948 PECOS PAC ID: 3870999733 Enrollment ID: I20210901002444 |
Provider Name | Jessica Tadesse |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1154097731 PECOS PAC ID: 9931505807 Enrollment ID: I20210901002919 |
Provider Name | Kathy J Thiegs |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1801177183 PECOS PAC ID: 2567850100 Enrollment ID: I20211101000940 |
Provider Name | Ashely Ka Zoua Xiong |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1487318572 PECOS PAC ID: 9234527847 Enrollment ID: I20211102000285 |
Provider Name | Kristen Berger |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1386309839 PECOS PAC ID: 0042609323 Enrollment ID: I20211106000197 |
Provider Name | Melody Oaks |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1730845231 PECOS PAC ID: 9234528068 Enrollment ID: I20211116001356 |
Provider Name | Claire Lynn Wheatley |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1326633322 PECOS PAC ID: 7810382710 Enrollment ID: I20220310002534 |
Provider Name | Kelsey Schaefbauer |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1528637428 PECOS PAC ID: 5395130108 Enrollment ID: I20220314001757 |
Provider Name | Gretta Adams |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1841944543 PECOS PAC ID: 4486048642 Enrollment ID: I20220330002918 |
Provider Name | Kia Kuka |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1528717246 PECOS PAC ID: 0648666578 Enrollment ID: I20220401001248 |
Provider Name | Marah Slieter |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1184353385 PECOS PAC ID: 0345629267 Enrollment ID: I20220623002688 |
Provider Name | Alexa Ronayne |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1043702210 PECOS PAC ID: 5294115853 Enrollment ID: I20220629002290 |
Provider Name | Jacey Jo Risler |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1225760804 PECOS PAC ID: 8729463989 Enrollment ID: I20220923002474 |
Provider Name | Zoey Lyn Stewart |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1932823531 PECOS PAC ID: 3678949856 Enrollment ID: I20221012002764 |
Provider Name | Jeri Rowley |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1396815544 PECOS PAC ID: 8729072905 Enrollment ID: I20221026002722 |
Provider Name | Elissa Light |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1902099922 PECOS PAC ID: 6709254212 Enrollment ID: I20221114003085 |
Provider Name | Steven Louis Bultena |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1780393694 PECOS PAC ID: 3072983014 Enrollment ID: I20230107000178 |
Provider Name | Kathryn Scrimgeour |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1558073882 PECOS PAC ID: 0648640599 Enrollment ID: I20230110002116 |
Provider Name | Sabrina Possia |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1427761394 PECOS PAC ID: 2365813656 Enrollment ID: I20230124003224 |
Provider Name | Abigail Quaas |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1598128365 PECOS PAC ID: 7719350313 Enrollment ID: I20230301002699 |
Provider Name | Maya Renee Delport |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1275183154 PECOS PAC ID: 0941673313 Enrollment ID: I20230306001619 |
Provider Name | Sydney Mckenzie |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1063110872 PECOS PAC ID: 0547633927 Enrollment ID: I20230306001824 |
Provider Name | Rachael Olson |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1285212092 PECOS PAC ID: 6103283320 Enrollment ID: I20230602002285 |
Provider Name | Victoria Sweely |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1063105500 PECOS PAC ID: 4981061611 Enrollment ID: I20230612000375 |
Provider Name | Nicole Schroeder |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1629760780 PECOS PAC ID: 2466810288 Enrollment ID: I20230626002786 |
Provider Name | Caitlin Schultz |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1184332215 PECOS PAC ID: 0941678577 Enrollment ID: I20230721001674 |
Provider Name | Christopher John Feldman |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1790356855 PECOS PAC ID: 0941691240 Enrollment ID: I20230728002612 |
Provider Name | Erica Hillard |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1528533791 PECOS PAC ID: 0042671307 Enrollment ID: I20230802003113 |
Provider Name | Allison Hoefer |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1831739770 PECOS PAC ID: 7719313626 Enrollment ID: I20230815002260 |
Provider Name | Jordan Bruestle |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1437830213 PECOS PAC ID: 5597127993 Enrollment ID: I20230817000246 |
Provider Name | Amy Rose Batchelor |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1730478272 PECOS PAC ID: 0749642098 Enrollment ID: I20230817002701 |
Provider Name | Claire Rondeau |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1225811250 PECOS PAC ID: 8123481769 Enrollment ID: I20230829003459 |
Provider Name | Sarah Desautel |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1689159246 PECOS PAC ID: 3274987334 Enrollment ID: I20230925000984 |
Provider Name | Hoang Vu Khac Pham |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1962170134 PECOS PAC ID: 7012361967 Enrollment ID: I20230926001904 |
Provider Name | Riley Schilling |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1750056263 PECOS PAC ID: 1254737752 Enrollment ID: I20231005002063 |
Provider Name | Madelyn James |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1831871961 PECOS PAC ID: 4880049758 Enrollment ID: I20231012001425 |
Provider Name | Clara E Keyes Ehrman |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1659151264 PECOS PAC ID: 5890141063 Enrollment ID: I20231024002074 |
Provider Name | Allison A Roehl |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1255112363 PECOS PAC ID: 8224484167 Enrollment ID: I20231027002811 |
Provider Name | Christine M Konopacki |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1437921624 PECOS PAC ID: 6305292947 Enrollment ID: I20231102000882 |
Provider Name | Michelle Lavinia Skavhaug |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1912638016 PECOS PAC ID: 5294181848 Enrollment ID: I20231102000994 |
Provider Name | Rachel M Webster |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1770216848 PECOS PAC ID: 5991153934 Enrollment ID: I20231130002875 |
Provider Name | Jake Phillip Toedter |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1396347878 PECOS PAC ID: 3072963826 Enrollment ID: I20231220002185 |
Provider Name | Tabitha Butler |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1487422648 PECOS PAC ID: 2264882422 Enrollment ID: I20231229001924 |
Provider Name | Kaitlin Vaith |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1053180893 PECOS PAC ID: 8729438718 Enrollment ID: I20240103003192 |
Provider Name | Jalyn Robinson |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1295514016 PECOS PAC ID: 5395197750 Enrollment ID: I20240122001651 |
Provider Name | Tyan Kan |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1265045793 PECOS PAC ID: 8820464936 Enrollment ID: I20240216004199 |
Provider Name | Stephanie Sterk |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1609634666 PECOS PAC ID: 2668819582 Enrollment ID: I20240327000531 |
Provider Name | Jenna Liwen Bartunek |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1669230637 PECOS PAC ID: 3173961869 Enrollment ID: I20240401000542 |
Provider Name | Emenet Sime |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1265285282 PECOS PAC ID: 9537508775 Enrollment ID: I20240419002367 |
Provider Name | Chelsea Marie Krob |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1902247240 PECOS PAC ID: 0143660555 Enrollment ID: I20240502001775 |
Rogers Behavioral Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6442 City West Pkwy Ste 200, Eden Prairie, MN 55344 Phone: 844-599-8959 Fax: 763-318-2801 | |
Allina Health System Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 775 Prairie Center Dr Ste 400, Eden Prairie, MN 55344 Phone: 612-262-1166 | |
Harmony Academy Aba Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8220 Commonwealth Dr Ste 101, Eden Prairie, MN 55344 Phone: 952-895-7557 | |
Awakening Wholeness Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9300 Hennepin Town Rd Ste B, Eden Prairie, MN 55347 Phone: 303-521-6463 | |
Nura Mobile Medicine Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10067 Gristmill Rdg, Eden Prairie, MN 55347 Phone: 612-226-2747 | |
Medexpress Primary Care Minnesota Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11000 Optum Circle, Eden Prairie, MN 55344 Phone: 952-205-2170 | |
Oak Support Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6385 Old Shady Oak Rd Ste 250, Eden Prairie, MN 55344 Phone: 210-810-5858 |