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Cody Derby, LAT, ATC
NPI 1518404557 · on the registry since 2017
Practice
- Address
- 2301 Lakeland Hills Blvd
Lakeland, FL 33805 - Phone
- (863) 413-4116
- Clinicians at this address
- 3
Additional practice sites
- 4525 Downs Dr, Saint Joseph, MO
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Also registered as
- 2255A2300X
- Licence states on file
- MO, FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-01-27
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 Florida