Individual
KODY WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
PO BOX 3823, CHINLE, AZ 86503-3823
(480) 208-2134
Mailing address
PO BOX 3823, CHINLE, AZ 86503-3823
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/18/2025
Last updated
12/08/2025
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