Individual
CODY HUBBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
995 ROUTE 127 SOUTH, JONESBORO, IL 62952
(618) 833-7093
Mailing address
200 WOODS LN APT 1, ANNA, IL 62906-4178
(618) 697-4799
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070022209
IL
Other
Enumeration date
02/15/2019
Last updated
02/15/2019
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