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Cody Jefferson, MBA, ATC, LAT

NPI 1437788601 · on the registry since 2020

Practice

Address
15 Mount Pelia Rd
Martin, TN 38237
Phone
(731) 881-7679
Clinicians at this address
4

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
TN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-04-08

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 Tennessee