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Contact Information

MARY ANNE E ODANIEL, PT
444 S MAIN ST
MADISONVILLE, KY42431
 Phone: 270-825-0069
 Fax: 270-824-9777
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for MARY ANNE E ODANIEL · (Female)

NPI # 1578052171
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 05/09/2018
Last updated 03/06/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 007430
  • KY License # TP2018037
  • KY Medicaid 7100552180
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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