Provider Demographics
NPI:1841564853
Name:MCNEELY, CODY E (DPT)
Entity Type:Individual
Prefix:
First Name:CODY
Middle Name:E
Last Name:MCNEELY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:CODY
Other - Middle Name:E
Other - Last Name:JOYCE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:5200 COMMERCE CROSSING, 3RD FLOOR
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40229
Mailing Address - Country:US
Mailing Address - Phone:502-253-4924
Mailing Address - Fax:502-489-5750
Practice Address - Street 1:12411 HYMEADOW DR
Practice Address - Street 2:BLDG 3, STE 3B
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78750-1874
Practice Address - Country:US
Practice Address - Phone:512-335-9300
Practice Address - Fax:512-335-9301
Is Sole Proprietor?:No
Enumeration Date:2012-03-08
Last Update Date:2020-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1215498225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist