Individual
CODY CHANTEALLE ATCHLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
709 E LOOP 820, FORT WORTH, TX 76120-1309
(817) 451-7979
(817) 451-7545
Mailing address
709 E LOOP 820, FORT WORTH, TX 76120-1309
(817) 451-7979
(817) 451-7545
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1067031
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8T7031
BLUE CROSS BLUE SHIELD
TX
Enumeration date
04/25/2007
Last updated
07/08/2007
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