Cody Lane Castellaw, DPT

NPI #1154728426 in Rexburg, Idaho

Provider Information

NPI Number
1154728426
Entity Type
Individual
Name
Cody Lane Castellaw, DPT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
DPT
Enumeration Date
Dec 2, 2014
Last Updated
Dec 2, 2014

Practice Location

Address
393 E 2ND N
State
Idaho
ZIP Code
83440-1605
Phone
(208) 359-9570

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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