Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Odom Sports Medicine, PA

Organization Sports Medicine (Family Medicine) Physician · NPI 1275557886

Odom Sports Medicine, PA provides Sports Medicine (Family Medicine) Physician services in Eden Prairie, Minnesota. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

6545 Flying Cloud Dr Ste 201
Eden Prairie, MN 55344-3356
Phone: (952) 224-1919
Fax: (612) 999-1943
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X

Record details

NPI number1275557886
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Caitlyn Larsen — Billing Supervisor · (612) 619-8674
Other names Odom Health & Wellness; Odom Health & Wellness
NPI enumeratedJuly 27, 2006
Last updated in NPPESApril 29, 2026
Certification dateApril 29, 2026
Mailing address6545 Flying Cloud Dr Ste 201, Eden Prairie, MN 55344-3356

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