Individual
CODY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3040 N FIVE MILE RD, BOISE, ID 83713-5234
(208) 939-0533
(208) 939-3341
Mailing address
12072 W MCMILLAN RD, BOISE, ID 83713-2462
(208) 939-0533
(208) 939-3341
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-7586
ID
Other
Enumeration date
11/10/2021
Last updated
11/10/2021
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