Individual
CODY JAMES SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
9105 E 56TH ST STE I, INDIANAPOLIS, IN 46216-2231
(463) 207-9995
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05014543A
IN
225100000X
Physical Therapist
9221
SC
225100000X
Physical Therapist
PT4703
ME
Other
Enumeration date
08/30/2016
Last updated
04/14/2022
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