Individual
CODY ENRIETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
841 COMMERCE ST, WELLSBURG, WV 26070-1528
(304) 737-0437
(304) 737-0581
Mailing address
1650 LYNDON FARM CT STE 300, LOUISVILLE, KY 40223-5005
(304) 917-3660
(812) 590-8333
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT004708
WV
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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