Cody Lee Cox, BS, LMT
Massage Therapist in Portland, OR. Individual provider (NPI-1).
NPI number1053132829
StatusActive
Last updated in NPPESOct 23, 2024
Details
- NPI
- 1053132829
- Entity type
- Individual (NPI-1)
- Name
- Cody Lee Cox
- Credential
- BS, LMT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 23, 2024
- Certification date
- Oct 23, 2024
- Last updated
- Oct 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 28680 | OR | Yes |
Practice location
5517 Se Knapp StPortland, OR 97206-8242
Phone 360-421-3190
Mailing address
5517 Se Knapp StPortland, OR 97206-8242
Phone 360-421-3190
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