Cody Bryan Oliver, LAT, ATC

NPI #1457991697 in Tyler, Texas

Provider Information

NPI Number
1457991697
Entity Type
Individual
Name
Cody Bryan Oliver, LAT, ATC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Medicine & Rehabilitation - Sports Medicine
Credential
LAT, ATC
Enumeration Date
Jan 15, 2020
Last Updated
Jan 15, 2020

Practice Location

Address
3900 UNIVERSITY BLVD
City
Tyler
State
Texas
ZIP Code
75799-6600
Phone
(903) 565-5742

Specialties & Taxonomy Codes

Specialty
Physical Medicine & Rehabilitation - Sports MedicineSports Medicine

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