Provider Demographics
NPI:1669832697
Name:MORRISON, CODY (DC)
Entity Type:Individual
Prefix:
First Name:CODY
Middle Name:
Last Name:MORRISON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1012 STATE ROUTE 521
Mailing Address - Street 2:STE 101
Mailing Address - City:DELAWARE
Mailing Address - State:OH
Mailing Address - Zip Code:43015-8003
Mailing Address - Country:US
Mailing Address - Phone:740-363-9705
Mailing Address - Fax:740-368-9297
Practice Address - Street 1:1012 STATE ROUTE 521
Practice Address - Street 2:
Practice Address - City:DELAWARE
Practice Address - State:OH
Practice Address - Zip Code:43015-8003
Practice Address - Country:US
Practice Address - Phone:740-363-9705
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-03
Last Update Date:2016-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4576111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor