NPI 1164945267

Elaine Marie Odum, ATC

Practitioner Athletic Trainer Bowling Green, KY

Practice location

Address: 1605 Avenue of Champions, Bowling Green, KY 42101-6412
Phone: (270) 745-3743
Fax: (270) 745-4106
Mailing address: 255 Walnut Creek CT, Bowling Green, KY 42101-8179

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

Other Specialist/Technologist providers in Kentucky →

Registry record

NPI: 1164945267
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Jul 2017
Record last updated: 20 Jul 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.