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Individual

CODY CRAIG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
1001 E BOGARD RD, WASILLA, AK 99654-7114
(907) 373-7246
(907) 376-9225
Mailing address
560 S LOOP RD, EDGEWOOD, KY 41017-3405
(859) 301-2663
(859) 817-7848

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
009174
KY
225100000X
Physical Therapist
05013942A
IN
225100000X
Physical Therapist
Primary
244576
AK
225100000X
Physical Therapist
CV2003640
IN

Other

Enumeration date
09/08/2020
Last updated
12/29/2025
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