Cody Conrad
NPI #1043757743 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1043757743
- Entity Type
- Individual
- Name
- Cody Conrad
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Enumeration Date
- Jan 19, 2017
- Last Updated
- Jan 19, 2017
Practice Location
- Address
- 9611 TRENTMAN RD
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46816-3233
- Phone
- (260) 602-4950
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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