NPI 1023461878

Cody Lee Phillips, PTA

Practitioner Physical Therapy Assistant Cumming, GA

Practice location

Address: 2300 Bethelview Rd STE 2013, Cumming, GA 30040-9475
Phone: (770) 888-1106
Fax: (770) 888-1653
Mailing address: 8823 Production Ln, Ooltewah, TN 37363-6511

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA003653 (GA)

Other Physical Therapy Assistant providers in Georgia →

Registry record

NPI: 1023461878
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Jul 2016
Record last updated: 18 Jul 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.