Individual
LUKE CODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
480 CAROLINA DR NW APT 49, JACKSONVILLE, AL 36265-1452
(256) 399-2398
Mailing address
130 HICKORY RIDGE DRIVE, GLENCOE, AL 35905
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/14/2021
Last updated
07/27/2022
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