Provider Demographics
NPI:1689816217
Name:ODD, AARON C (DC)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:C
Last Name:ODD
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1307 VIOLET ST. SE
Mailing Address - Street 2:
Mailing Address - City:LACEY
Mailing Address - State:WA
Mailing Address - Zip Code:98503-5710
Mailing Address - Country:US
Mailing Address - Phone:360-459-7800
Mailing Address - Fax:360-459-1216
Practice Address - Street 1:5191 CORPORATE CENTER CT SE
Practice Address - Street 2:
Practice Address - City:LACEY
Practice Address - State:WA
Practice Address - Zip Code:98503-5607
Practice Address - Country:US
Practice Address - Phone:360-459-7800
Practice Address - Fax:360-459-1216
Is Sole Proprietor?:No
Enumeration Date:2009-03-27
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH60023834111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor