Cody Mason Herbert, MS, ATC

NPI #1104193077 in Ithaca, New York

Provider Information

NPI Number
1104193077
Entity Type
Individual
Name
Cody Mason Herbert, MS, ATC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
MS, ATC
Enumeration Date
Nov 21, 2011
Last Updated
Nov 21, 2011

Practice Location

Address
512 CAMPUS RD.
Address 2
TEAGLE HALL
City
Ithaca
ZIP Code
14850
Phone
(607) 255-4237

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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