SearchNew Mexico224Z00000X

Kacey Odum, COTA/L

NPI 1851835060 · on the registry since 2016 · sole proprietor

Practice

Address
1011 Sombrillo Ct
Los Alamos, NM 87544
Phone
(505) 661-0066
Organisation at this address
Los Alamos Assisted Living Llc
Los Alamos Retirement Center, Inc.
Los Alamos Wellness & Rehabilitation Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Also registered as
224Z00000X
Licence states on file
FL, KS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-12-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico