Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CODY LEE WALLS, ATC, LAT, EMT
Active Sole ProprietorMR. CODY LEE WALLS, ATC, LAT, EMT is a Athletic Trainer healthcare provider located in TEXARKANA, Texas. NPI 1821341447 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · TEXARKANA, TX
Registration Details
- NPI Number
- 1821341447
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 19, 2012 (13.801124751168 yrs)
- Last Updated
- Oct 19, 2012
- Licenses
-
168141 (TX)22756 (AR)1634643 (TX)AT4598 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4001 SUMMERHILL RDTEXARKANA, TX, 755032764Browse TX providers · Browse ZIP 75503
- Phone
- 9037943891
- Primary Specialty
-
Athletic Trainer
2255A2300X
- Additional Specialty
- Emergency Medical Technician, Basic
- Additional Specialty
- Health Educator
- Additional Specialty
- Athletic Trainer
Other Athletic Trainer Providers in TEXARKANA, TX
| Name | Credential | NPI |
|---|---|---|
| FORESTT BRIDGES | — | 1669924726 |
| HANNAH FITCH | — | 1124513502 |
| STEPHANIE MICHELLE SCOTT | LAT | 1952886905 |
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.