Provider Demographics
NPI:1508339862
Name:FRENCH, CODY J (DPT)
Entity Type:Individual
Prefix:
First Name:CODY
Middle Name:J
Last Name:FRENCH
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:WASHINGTON OUTPATIENT REHAB
Mailing Address - Street 2:507 S WASHINGTON
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99204
Mailing Address - Country:US
Mailing Address - Phone:509-242-6002
Mailing Address - Fax:509-624-5061
Practice Address - Street 1:WASHINGTON OUTPATIENT REHAB
Practice Address - Street 2:507 S WASHINGTON
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99204
Practice Address - Country:US
Practice Address - Phone:509-242-6002
Practice Address - Fax:509-624-5061
Is Sole Proprietor?:No
Enumeration Date:2019-01-09
Last Update Date:2019-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT60856536225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist