MEDICARE: JACQUELINE ANN ODELL PT

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	PT00002424	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1922097997
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JACQUELINE ANN ODELL PT

Provider Business Mailing Address
First Line	:	9612 270TH ST NW
Second Line	:
City	:	STANWOOD
State	:	WA
Zip	:	98292-1906
Country	:	US
Telephone Number	:	360-629-8043
Fax Number	:	360-629-8053

Provider Business Practice Location Address
First Line	:	9612 270TH ST NW
Second Line	:
City	:	STANWOOD
State	:	WA
Zip	:	98292-1906
Country	:	US
Telephone Number	:	360-629-8043
Fax Number	:	360-629-8053

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

Provider Enumeration Date	:	10/20/2005
Last Update Date	:	10/03/2011

Similar Medicare Providers

1518960285 — MR. JOE BOLEWICZ P.T.
Practice Location Address:

9612 270TH ST NW
STANWOOD, WA
98292-1906

Practice Phone: 360-629-8043
Practice Fax: 360-629-8053

1295735447 — DANIEL J DAY MPT
Practice Location Address:

9612 270TH ST NW
STANWOOD, WA
98292-1906

Practice Phone: 360-629-8043
Practice Fax: 360-629-8053

1679798508 — SHAWN F MAGELSEN DMD
Practice Location Address:

9612 270TH ST NW , SUITE F
STANWOOD, WA
98292-1906

Practice Phone: 360-629-1776
Practice Fax: 360-629-0541

1295944767 — MS. GAYLE LONDON PATTERSON LMP
Practice Location Address:

9612 270TH ST NW
STANWOOD, WA
98292-1906

Practice Phone: 360-629-2000
Practice Fax:

1891319166 — MATTHEW ROBERT ANDELIN DMD
Practice Location Address:

9612 270TH ST NW STE F
STANWOOD, WA
98292-1906

Practice Phone: 360-629-1776
Practice Fax:

1942933478 — MAGELSEN ANDELIN, PLLC
Practice Location Address:

9612 270TH ST NW STE F
STANWOOD, WA
98292-1906

Practice Phone: 360-629-1776
Practice Fax:

Directions to “ JACQUELINE ANN ODELL PT” 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.