Provider Demographics
NPI:1457166043
Name:SPRY, CODY (DC)
Entity type:Individual
Prefix:
First Name:CODY
Middle Name:
Last Name:SPRY
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 1:3313 LEE ST NW
Mailing Address - Street 2:
Mailing Address - City:NORTH CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44720-4735
Mailing Address - Country:US
Mailing Address - Phone:330-818-2196
Mailing Address - Fax:330-818-2199
Practice Address - Street 1:3313 LEE ST NW
Practice Address - Street 2:
Practice Address - City:NORTH CANTON
Practice Address - State:OH
Practice Address - Zip Code:44720-4735
Practice Address - Country:US
Practice Address - Phone:330-818-2196
Practice Address - Fax:330-818-2199
Is Sole Proprietor?:No
Enumeration Date:2025-02-11
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHDC-05424111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor