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DESIREE EVETTE ODOM
NPI 1619823960
Massage Therapist in Syracuse, NY

Active since March 09, 2026
309 MAPLE ST, SYRACUSE, NY 13210(315) 475-9164 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Desiree Evette Odom NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DESIREE EVETTE ODOM (NPI 1619823960) is an individual massage therapist in Syracuse, New York, licensed in New York (033204-01) and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1619823960
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameDESIREE EVETTE ODOM
Location Address309 MAPLE STSyracuse, NY 13210-1248
Mailing Address309 Maple StSyracuse, NY 13210-1248 · (315) 475-9164
Phone(315) 475-9164
Sole ProprietorYes
Enumeration DateMarch 9, 2026
NPPES CertifiedMarch 9, 2026
✔ NPI 1619823960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in NY · 033204-01
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
309 MAPLE ST, Syracuse, NY 13210
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Desiree Odom's NPI number?

The NPI number for Desiree Odom is 1619823960. It was assigned to this individual provider in the NPPES registry on March 9, 2026.

Where is Desiree Odom located?

Desiree Odom practices at 309 Maple St, Syracuse, NY 13210. The listed phone number is (315) 475-9164.

What is Desiree Odom's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Desiree Odom was last updated on March 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.