MR. GUY MARK ODISHAW CMT NPI 1346460995

NPI Information

MR. Guy Mark Odishaw, CMT is a massage therapist in Edina, MN. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. MR. Guy Mark Odishaw, CMT NPI is 1346460995. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7550 FRANCE AVE S STE 220
EDINA, MN
ZIP 55435-762
Phone: (612) 859-7709
Fax: (612) 326-1974

The enumeration date for this NPI number is 4/26/2007 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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