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Mr. Cody D. Stephens, MPT
Specialist in Fruitland, Idaho
NPI 1174598593

Cody D. Stephens is a Specialist based in Fruitland, ID. Cody D. Stephens practices in Fruitland, ID and has the professional credentials of MPT. The NPI Number for Cody D. Stephens is 1174598593 and holds a License No. RPT1547 (Idaho).

The current practice location address for Cody D. Stephens is 215 N Whitley Dr, Fruitland, ID and can be reached out via phone at 208-452-6366 and via fax at 208-452-6399.

Location: 215 N Whitley Dr, Fruitland, ID, 83619-2705
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174598593
Provider Name
Cody D. Stephens
Credential
MPT
Provider Entity Type
Individual
Gender
Male
Address
215 N Whitley Dr, Fruitland, ID, 83619-2705
Phone Number
208-452-6366
Fax Number
208-452-6399
Provider Enumeration Date
02/20/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
215 N Whitley Dr
City
Fruitland
State
Idaho
Zip
83619-2705
Phone Number
208-452-6366
Fax Number
208-452-6399
person
Provider Business Mailing Address Details
Address
215 N Whitley Dr
City
Fruitland
State
Idaho
Zip
83619-2705
Phone Number
208-452-6366
Fax Number
208-452-6399
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
RPT1547 (Idaho)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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