Individual
CODY D MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT/ ATC
Contact information
Practice address
10815 COLONEL GLENN RD STE 500, LITTLE ROCK, AR 72204-8041
(501) 406-9201
(501) 320-7813
Mailing address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 686-8000
(501) 526-5148
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
2255A2300X
Athletic Trainer
2018016971
MO
Other
Enumeration date
05/06/2019
Last updated
08/14/2025
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