Individual
CODY PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1275 W PUEBLO BLVD, PUEBLO, CO 81004-3866
(719) 542-0119
Mailing address
1275 W PUEBLO BLVD, PUEBLO, CO 81004-3866
(719) 542-0119
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0017110
CO
225100000X
Physical Therapist
11701
AZ
Other
Enumeration date
08/06/2015
Last updated
08/19/2020
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