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

CODY ALLEN WATERS

Active Sole Proprietor

CODY ALLEN WATERS is a Physical Therapy Assistant healthcare provider located in FAIRMONT, West Virginia. NPI 1639687155 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · FAIRMONT, WV

Registration Details

NPI Number
1639687155
Provider Type
Individual
Gender
Male
NPI Issued
Jan 18, 2018 (8.5951966501942 yrs)
Last Updated
Jan 18, 2018
License
003879 (WV)
Sole Proprietor
Yes

Practice Information

Address
1539 COUNTRY CLUB RD
FAIRMONT, WV, 265541306
Browse WV providers · Browse ZIP 26554
Phone
3043669100
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in FAIRMONT, WV

Name Credential NPI
ERIC A BEARD P.T. 1295739761
MR. JAMES DEMUS PT 1336104736
MR. DEREK ALAN FALKENSTEIN PT 1326097544
ANDREW J. BARRISH PT 1427004191
RENEE RIFFLE MCGINNIS P.T. 1144260183
KELLY B DLUGOS PHYSICAL THERAPIST 1306888797
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.