National Provider Identifier
Tate Odell
Tate Odell is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Snyder, NY and a listed phone number of (802) 299-9710.
Profile Overview
- NPI
- 1780103093
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- September 18, 2017
- Last Updated
- September 18, 2017
Practice Location
- 35 Rose Ct Apt 1
- Snyder, NY 14226-3661
Phone: (802) 299-9710
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
- Athletic Trainer (2255A2300X)
Full Record
- NPI
- 1780103093
- Entity Type
- Individual
- Last Name
- Odell
- First Name
- Tate
- Mailing Street Address
- 35 Rose Ct Apt 1
- Mailing City
- Snyder
- Mailing State
- NY
- Mailing ZIP Code
- 14226-3661
- Mailing Country
- US
- Mailing Phone
- (802) 299-9710
- Practice Street Address
- 35 Rose Ct Apt 1
- Practice City
- Snyder
- Practice State
- NY
- Practice ZIP Code
- 14226-3661
- Practice Country
- US
- Practice Phone
- (802) 299-9710
- Enumeration Date
- September 18, 2017
- Last Updated
- September 18, 2017
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X), Athletic Trainer (2255A2300X)