Individual
CODY SMILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT
Contact information
Practice address
11325 IH 37, 2103, CORPUS CHRISTI, TX 78410-3353
(361) 765-9822
Mailing address
11325 IH 37, 2103, CORPUS CHRISTI, TX 78410-3353
(361) 765-9822
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT4355
TX
Other
Enumeration date
04/19/2016
Last updated
04/19/2016
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