Provider Demographics
NPI:1568258986
Name:TAYLOR, CODY LEE (DPT)
Entity type:Individual
Prefix:
First Name:CODY
Middle Name:LEE
Last Name:TAYLOR
Suffix:
Gender:
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:PO BOX 932184
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:31193
Mailing Address - Country:US
Mailing Address - Phone:904-895-5518
Mailing Address - Fax:
Practice Address - Street 1:5700 SCHERTZ PKWY STE 110
Practice Address - Street 2:
Practice Address - City:SCHERTZ
Practice Address - State:TX
Practice Address - Zip Code:78154-1498
Practice Address - Country:US
Practice Address - Phone:210-781-4810
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-15
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1404834225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist