Individual
CODY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
809 S BROAD ST SW, ROME, GA 30161-4654
(706) 235-1337
Mailing address
38 PONDERS RD SE, CARTERSVILLE, GA 30121-5593
(229) 449-4884
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
06/07/2020
Last updated
06/07/2020
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