Individual
CODY VANDERSLOOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1902 SW 9TH AVE STE 101, BATTLE GROUND, WA 98604-3286
(360) 723-0797
(360) 723-0792
Mailing address
1650 LYNDON FARM CT STE 300, LOUISVILLE, KY 40223-5005
(334) 231-5364
(334) 513-7138
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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