NPI 1154017374
Cody Reid Shirley, BSCOTAL
Practice location
- Address
- 690 Mount Vernon Hwy NE, Atlanta, GA 30328-4221
- Phone
- (404) 843-8857
- Mailing address
- 903 Peachtree St NE Unit 1409, Atlanta, GA 30309-4892
Registered specialties
Occupational Therapy Assistant
Primary
Registry record
- NPI
- 1154017374
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 12 Apr 2023
- Record last updated
- 12 Apr 2023
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.