Individual
CODY ACADEMIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
4833 KELLER SPRINGS RD, ADDISON, TX 75001-5912
(972) 733-1014
Mailing address
2209 DALHART TRL, MCKINNEY, TX 75072-2464
(808) 722-5979
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
14093
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14093
TEXAS CHIROPRACTIC BOARD
TX
Enumeration date
05/02/2019
Last updated
06/29/2021
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