Individual
MR. CODY F DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
510 8TH AVE NE STE 340, ISSAQUAH, WA 98029-5449
(425) 313-3051
(425) 313-3055
Mailing address
510 8TH AVE NE STE 320, ISSAQUAH, WA 98029-5436
(425) 313-3051
(425) 313-3055
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60966226
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2134581
—
WA
Enumeration date
05/31/2019
Last updated
09/17/2020
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