Individual
KODY ECKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
101 NETH DR, MILLIGAN COLLEGE, TN 37682-3015
(423) 461-8700
Mailing address
212 S AVENUE A, STERLING, KS 67579-2338
(620) 204-0995
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
0
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
236
—
DC
Enumeration date
05/25/2021
Last updated
05/25/2021
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