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Cody Deardorff, MAT, LAT, ATC
NPI 1235744913 · on the registry since 2020
Practice
- Address
- 3211 47th St
Lubbock, TX 79413 - Phone
- (806) 219-2042
- Fax
- (806) 766-0705
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-09-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas