Provider Demographics
NPI:1417283045
Name:SASEK, CODY ALLEN (PHD, PA-C, ATC)
Entity type:Individual
Prefix:DR
First Name:CODY
Middle Name:ALLEN
Last Name:SASEK
Suffix:
Gender:M
Credentials:PHD, PA-C, ATC
Other - Prefix:
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Mailing Address - Street 1:1611 N 52ND ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68104-5014
Mailing Address - Country:US
Mailing Address - Phone:402-641-7278
Mailing Address - Fax:
Practice Address - Street 1:2412 CUMING ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68131-1601
Practice Address - Country:US
Practice Address - Phone:402-641-7278
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-02
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer