Individual
CODY WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
,PT, DPT
Contact information
Practice address
3213 W NORTH FRONT ST, GRAND ISLAND, NE 68803-4026
(308) 395-7252
Mailing address
3213 W NORTH FRONT ST, GRAND ISLAND, NE 68803-4026
(308) 395-7252
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3964
NE
Other
Enumeration date
06/12/2019
Last updated
06/04/2024
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