Individual
MR. CODY DANIEL WHITTAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPOA
Contact information
Practice address
735 W JACKSON ST, COOKEVILLE, TN 38501-3993
(931) 854-9455
(931) 854-9457
Mailing address
735 W JACKSON ST, COOKEVILLE, TN 38501-3993
(931) 854-9455
(931) 854-9457
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
TN
224P00000X
Prosthetist
Primary
—
TN
Other
Enumeration date
07/17/2020
Last updated
07/17/2020
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