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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. CODY D. STEPHENS, M.P.T.

Active

Specialist · FRUITLAND, ID

Registration Details

NPI Number
1174598593
Provider Type
Individual
Gender
Male
NPI Issued
Feb 20, 2006 (20.196006501194 yrs)
Last Updated
Jul 8, 2007
License
RPT1547 (ID)

Practice Information

Address
215 N WHITLEY DR
SUITE 1
FRUITLAND, ID, 836192705
Browse ID providers · Browse ZIP 83619
Phone
2084526366
Fax
2084526399
Primary Specialty
Specialist
174400000X

Other Specialist Providers in FRUITLAND, ID

Name Credential NPI
MR. KEVIN BRETT NATTRESS P.T. 1982679304
MRS. JANEIL M HEATON M.P.T. 1245205665
MR. CRAIG L HAMANN D.P.T. 1942248596
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.