Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CODY LEE BROOM
ActivePhysical Therapy Assistant · COLLINS, MS
Registration Details
- NPI Number
- 1902537723
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 22, 2022 (3.8402486744482 yrs)
- Last Updated
- Jun 22, 2022
- License
-
PT7219 (MS)
Practice Information
- Address
-
3261 HIGHWAY 49COLLINS, MS, 394283876Browse MS providers · Browse ZIP 39428
- Phone
- 6019216043
- Fax
- 6019216044
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in COLLINS, MS
| Name | Credential | NPI |
|---|---|---|
| JOHN RAYBORN | PT | 1386668259 |
| TANYA COOPER | — | 1801003066 |
| HAYLEY RAE EVELYN SCHMIDTBERGER | DPT | 1790205060 |
| DR. JOHN MARTY CHEEKS | PT, DPT, DHS | 1316464316 |
| IDA MARIE COLE | PT | 1912413469 |
| OLIVIA ROBINSON | — | 1467184044 |
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.