Provider Demographics
NPI:1205103868
Name:ODLAND, KARI BETH (MS, ATC)
Entity type:Individual
Prefix:MS
First Name:KARI
Middle Name:BETH
Last Name:ODLAND
Suffix:
Gender:F
Credentials:MS, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:13423 ELMHURST DR SE
Mailing Address - Street 2:
Mailing Address - City:MENTOR
Mailing Address - State:MN
Mailing Address - Zip Code:56736-9437
Mailing Address - Country:US
Mailing Address - Phone:989-572-8490
Mailing Address - Fax:
Practice Address - Street 1:3399 N ROAD
Practice Address - Street 2:SCHOOL OF SCIENCE MARIST COLLEGE
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601
Practice Address - Country:US
Practice Address - Phone:845-575-2884
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-28
Last Update Date:2011-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer