Cody Campbell

NPI #1235676925 in Maryville, Missouri

Provider Information

NPI Number: 1235676925
Entity Type: Individual
Name: Cody Campbell
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Jan 19, 2017
Last Updated: Jan 30, 2017

Practice Location

Address: 324 E SUMMIT DR APT B16
City: Maryville
State: Missouri
ZIP Code: 64468-3648
Phone: (641) 203-4515

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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