MR. Cody D. Stephens, M.P.T.

NPI #1174598593 in Fruitland, Idaho

Provider Information

NPI Number: 1174598593
Entity Type: Individual
Name: MR. Cody D. Stephens, M.P.T.
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Specialist
Credential: M.P.T.
Enumeration Date: Feb 20, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 215 N WHITLEY DR
Address 2: SUITE 1
City: Fruitland
State: Idaho
ZIP Code: 83619-2705
Phone: (208) 452-6366

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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