Individual
CODY JAMES HARTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
4959 BILL GARDNER PKWY STE 109, LOCUST GROVE, GA 30248
(770) 914-9285
(770) 914-5668
Mailing address
1714 CANTERBURY RD, RALEIGH, NC 27608-1110
(919) 791-6260
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P19494
NC
225100000X
Physical Therapist
PT 003309
WV
225100000X
Physical Therapist
PT013303
GA
Other
Enumeration date
06/13/2014
Last updated
09/20/2021
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