MR. CODY GIBSON I, ATC
Specialist/Technologist - Athletic Trainer
Active
Individual
NPI: 1699164459
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Specialist/Technologist - Athletic Trainer | 2255A2300X | Yes | - |
Frequently Asked Questions
NPI 1699164459 is the National Provider Identifier for MR. CODY GIBSON I, ATC, a Specialist/Technologist - Athletic Trainer provider located in Modesto, CA. This NPI was enumerated on January 16, 2015.
MR. CODY GIBSON I, ATC practices at 4318 SPYRES WAY, Modesto, CA 95356.
Quick Facts
- NPI
- 1699164459
- Type
- Individual
- Enumerated
- Jan 16, 2015
- Last Updated
- Jan 16, 2015
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