Cody Mason Herbert, MS, ATC

Athletic Trainer · Ithaca, NY

Individual Active NPI

NPI number 1104193077

Practice location

512 Campus Rd.
Teagle Hall
Ithaca, NY 14850
Phone
(607) 255-4237

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NPI record

NPI
1104193077
Entity type
Individual (Type 1)
Enumeration date
November 21, 2011
Last updated
November 21, 2011
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X 002075-1 NY

Mailing address

110 W Marshall St
Apt 2
Ithaca, NY 14850-3546
Phone
(973) 903-7663

About Cody Herbert

Cody Mason Herbert, MS, ATC is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 512 Campus Rd., Teagle Hall, Ithaca, NY 14850. The NPI number 1104193077 was assigned on November 21, 2011 and the record was last updated on November 21, 2011.

Cody Herbert lists a license in the registry: #002075-1 (NY) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Cody Mason Herbert, MS, ATC?

The NPI number is 1104193077.

What is the phone number of Cody Herbert?

The phone number listed for the practice location is (607) 255-4237.

Where is Cody Herbert located?

512 Campus Rd., Teagle Hall, Ithaca, NY 14850.

What is the taxonomy code for Cody Herbert?

The primary taxonomy code is 2255A2300X – Athletic Trainer.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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