MEDICARE: FELISA ODLE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	856	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	856	OTHER	TN	LICENSE

General Provider Information

NPI Number	:	1770693608
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FELISA ODLE

Provider Business Mailing Address
First Line	:	4530 HIGHWAY 49 W
Second Line	:
City	:	SPRINGFIELD
State	:	TN
Zip	:	37172-6035
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2009 MEMORIAL BLVD
Second Line	:
City	:	SPRINGFIELD
State	:	TN
Zip	:	37172-3913
Country	:	US
Telephone Number	:	615-384-3836
Fax Number	:	615-384-2354

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	02/10/2026

Similar Medicare Providers

1467527317 — DR. MICHAEL B HALLE MD
Practice Location Address:

2101 E JEFFERSON ST , KAISER PERMANENTE SPRINGFIELD MEDICARE ENROLLMENT
ROCKVILLE, MD
20852-4908

Practice Phone: 701-922-1000
Practice Fax: 703-922-1039

1972613610 — BRAD LITTLE
Practice Location Address:

2009 MEMORIAL BLVD
SPRINGFIELD, TN
37172-3913

Practice Phone: 615-384-3836
Practice Fax:

1750971354 — SUSANNA MAHER ESHAAK MEKHAIL
Practice Location Address:

2009 MEMORIAL BLVD
SPRINGFIELD, TN
37172-3913

Practice Phone: 615-384-3836
Practice Fax:

1235896127 — MR. BRIAN CHRISTOPHER VALENTINE PTA
Practice Location Address:

2009 MEMORIAL BLVD
SPRINGFIELD, TN
37172-3913

Practice Phone: 615-384-3836
Practice Fax:

1245125814 — JORI SISK CHES, NBC-HWC
Practice Location Address:

3913 THACKERAY DR
SPRINGFIELD, IL
62711-4024

Practice Phone: 309-255-9841
Practice Fax:

1861496242 — SPRINGFIELD SURGERY PC
Practice Location Address:

322 NORTHCREST DR
SPRINGFIELD, TN
37172-3963

Practice Phone: 615-384-2714
Practice Fax: 615-384-6568

Directions to “ FELISA ODLE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.