Provider Demographics
NPI:1720579469
Name:LAFLER, CODY LYNN (OTR/L)
Entity Type:Individual
Prefix:
First Name:CODY
Middle Name:LYNN
Last Name:LAFLER
Suffix:
Gender:M
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1825 LOGAN AVE
Mailing Address - Street 2:
Mailing Address - City:WATERLOO
Mailing Address - State:IA
Mailing Address - Zip Code:50703-1916
Mailing Address - Country:US
Mailing Address - Phone:319-235-3659
Mailing Address - Fax:319-235-3826
Practice Address - Street 1:2160 LOGAN AVE
Practice Address - Street 2:
Practice Address - City:WATERLOO
Practice Address - State:IA
Practice Address - Zip Code:50703-1006
Practice Address - Country:US
Practice Address - Phone:319-226-8560
Practice Address - Fax:319-226-8565
Is Sole Proprietor?:No
Enumeration Date:2018-05-29
Last Update Date:2019-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA075002225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist