| Makayla Heim, | |
| 
					6545 Flying Cloud Dr Ste 201, Eden Prairie, MN 55344-3356  | |
| (612) 364-1901 | |
| Not Available | 
| Full Name | Makayla Heim | 
|---|---|
| Gender | Female | 
| Speciality | Physical Therapist | 
| Location | 6545 Flying Cloud Dr Ste 201, Eden Prairie, Minnesota | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1861201105 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 225100000X | Physical Therapist | 13720 (Minnesota) | Primary | 
| Provider Name | Odom Sports Medicine Pa | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1275557886 PECOS PAC ID: 0143485607 Enrollment ID: O20120706000533  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Makayla Heim, 6545 Flying Cloud Dr Ste 201, Eden Prairie, MN 55344-3356 Ph: (612) 364-1901  | Makayla Heim, 6545 Flying Cloud Dr Ste 201, Eden Prairie, MN 55344-3356 Ph: (612) 364-1901  | 
Riley Bren,  Physical Therapist Medicare: Medicare Enrolled Practice Location: 6545 Flying Cloud Dr Ste 201, Eden Prairie, MN 55344 Phone: 612-364-1901  | |
David Anderson, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 11995 Singletree Ln Ste 120, Eden Prairie, MN 55344 Phone: 952-373-5720 Fax: 763-260-7653  | |
Hannah Mae Stefani, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6485 City West Pkwy, Eden Prairie, MN 55344 Phone: 952-933-1150 Fax: 952-930-3304  | |
Kaitlin Vaith,  Physical Therapist Medicare: Medicare Enrolled Practice Location: 6545 Flying Cloud Dr Ste 201, Eden Prairie, MN 55344 Phone: 612-364-1901  | |
John A Corbo, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 775 Prairie Center Dr, 250, Eden Prairie, MN 55344 Phone: 952-944-5314  | |
Daniel Himmerick,  Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 775 Prairie Center Dr Ste 250, Eden Prairie, MN 55344 Phone: 952-944-5314 Fax: 952-944-0092  | |
Christopher Hart,  Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 775 Prairie Center Dr Ste 250, Eden Prairie, MN 55344 Phone: 952-944-5314  |