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

CODY DERBY, LAT, ATC

Active

CODY DERBY, LAT, ATC is a Athletic Trainer healthcare provider located in LAKELAND, Florida. NPI 1518404557 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · LAKELAND, FL

Registration Details

NPI Number
1518404557
Provider Type
Individual
Gender
Male
NPI Issued
Jan 29, 2017 (9.5060841002903 yrs)
Last Updated
Jan 27, 2021
Licenses
2017002382 (MO)
AL5128 (FL)

Practice Information

Address
2301 LAKELAND HILLS BLVD
LAKELAND, FL, 338052909
Browse FL providers · Browse ZIP 33805
Phone
8634134116
Primary Specialty
Athletic Trainer
2255A2300X
Additional Specialty
Athletic Trainer

Other Athletic Trainer Providers in LAKELAND, FL

Name Credential NPI
MR. ALBERT HARRIS GREEN ATC, EMT 1881663029
MRS. BETHANY JOY NKOSI ATC, ATL 1285698647
MR. WILLIAM ROBERT GEASA JR. ATC 1487618989
PROF. NANCY H CUMMINGS EDD, ATC/L, CSCS 1598721664
MR. ADAM CRAFT ATC 1588705016
COREY SMITH TREMBLE LAT, ATC, CSCS 1881894939
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.