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Individual

CODY A LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
24 N WALMART DR STE F, LOUISVILLE, MS 39339-6898
(662) 779-1096
(662) 779-3949
Mailing address
1200 CORPORATE DR, SUITE 400, BIRMINGHAM, AL 35242
(423) 206-4158
(717) 773-4654

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT6963
MS

Other

Enumeration date
09/04/2020
Last updated
09/04/2020
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