NPI 1043882806
Cody George
Practice location
- Address
- 823 Parkcentre Way, Nampa, ID 83651-1783
- Phone
- (800) 926-2588
- Mailing address
- 4112 Pintail Ln, Nampa, ID 83686-8734
Registered specialties
Developmental Therapist
Primary
Registry record
- NPI
- 1043882806
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 12 Jul 2021
- Record last updated
- 12 Jul 2021
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.