Provider Demographics
NPI:1497637516
Name:GRIFFIN, CODY KRISTOPHER (DC)
Entity type:Individual
Prefix:DR
First Name:CODY
Middle Name:KRISTOPHER
Last Name:GRIFFIN
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 1:10945 SUNRISE CIR
Mailing Address - Street 2:
Mailing Address - City:KEITHVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71047-5401
Mailing Address - Country:US
Mailing Address - Phone:318-470-0834
Mailing Address - Fax:
Practice Address - Street 1:10945 SUNRISE CIR
Practice Address - Street 2:
Practice Address - City:KEITHVILLE
Practice Address - State:LA
Practice Address - Zip Code:71047-5401
Practice Address - Country:US
Practice Address - Phone:318-470-0834
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-21
Last Update Date:2025-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2052111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor