Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CODY ROBERT GIBSON I, ATC
ActiveMR. CODY ROBERT GIBSON I, ATC is a Athletic Trainer healthcare provider located in MODESTO, California. NPI 1699164459 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · MODESTO, CA
Registration Details
- NPI Number
- 1699164459
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 16, 2015 (11.429424361553 yrs)
- Last Updated
- Jan 16, 2015
Practice Information
- Address
-
4318 SPYRES WAYMODESTO, CA, 953569259Browse CA providers · Browse ZIP 95356
- Phone
- 2095760710
- Fax
- 2095767283
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in MODESTO, CA
| Name | Credential | NPI |
|---|---|---|
| MR. SCOTT PATRICK JOHNSON | A.T.,C | 1700948833 |
| MR. BOBBY GENE BOSWELL | ATC | 1841412111 |
| KATHERINE WILSON | ATC | 1295124055 |
| COLE EDWARDS | — | 1497137939 |
| LEHONG SUNNY HONG | — | 1144687856 |
| GUMARO DIAZ III | — | 1326591736 |
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.