Individual
MR. CODY KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
422 COLONIAL DR STE B, BATON ROUGE, LA 70806-6505
(225) 926-1900
Mailing address
702 ARLINGTON AVE, BATON ROUGE, LA 70806-5530
(225) 205-4409
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5393
LA
Other
Enumeration date
05/30/2015
Last updated
05/30/2015
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