Individual
CODY STEVEN WHITEFOOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, OCS
Contact information
Practice address
170 DAVIDSON HOLLOW RD, HEISKELL, TN 37754-2536
(901) 647-8679
Mailing address
170 DAVIDSON HOLLOW RD, HEISKELL, TN 37754-2536
(901) 647-8679
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11373
TN
Other
Enumeration date
12/21/2022
Last updated
12/21/2022
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