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Individual

CODY F ROGERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
1707 W 20TH ST, LAUREL, MS 39440-1802
(601) 428-2004
(601) 428-8833
Mailing address
1707 W 20TH ST, LAUREL, MS 39440-1802
(601) 428-2004
(601) 428-8833

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3187
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200024732
MS
Enumeration date
03/01/2007
Last updated
12/09/2025
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