Russ Odom, CMT, CMMP
NPI 1104172253 · Massage Therapist · San Diego, CA
Russ Odom, CMT, CMMP is a Massage Therapist provider in San Diego, CA (NPI 1104172253).
Provider details
- NPI number
- 1104172253
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- CMT, CMMP
- Sex
- Male
- Sole proprietor
- Yes
- License
- 30211 (CA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-07-26
- Last updated
- 2012-07-26
Frequently asked questions
- What is Russ Odom's NPI number?
- Russ Odom's National Provider Identifier (NPI) is 1104172253, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Russ Odom's specialty?
- Russ Odom is listed in the NPPES registry with a primary specialty of Massage Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Russ Odom located?
- Russ Odom's practice location on file with NPPES is 2128 Crenshaw St, San Diego, CA 92105-5130.
- What is Russ Odom's phone number?
- The practice phone number listed in the NPPES registry for Russ Odom is (619) 339-1306.
- Is Russ Odom's NPI active?
- Yes — Russ Odom's NPI (1104172253) is active in the NPPES registry as of the last update on 2012-07-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.