Individual
CODY ROBERT MCMANUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
114 N MAIN ST, PLEASANTVILLE, OH 43148-9522
(740) 409-0440
Mailing address
114 N MAIN ST, PLEASANTVILLE, OH 43148-9522
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/23/2018
Last updated
02/23/2018
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