Individual
CODY HUELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1441 W BROADWAY, CENTRALIA, IL 62801-5613
(618) 532-0810
Mailing address
400 N PLEASANT AVE, CENTRALIA, IL 62801-3056
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
070026151
IL
225100000X
Physical Therapist
070026151
IL
Other
Enumeration date
01/11/2022
Last updated
01/11/2022
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