| Cody Lee Broom, | |
|
3261 Highway 49, Collins, MS 39428-3876 | |
| (601) 921-6043 | |
| (601) 921-6044 |
| Full Name | Cody Lee Broom |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 3261 Highway 49, Collins, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902537723 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT7219 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Cody Lee Broom, 599c Steed Rd, Ridgeland, MS 39157-1707 Ph: (601) 605-6777 | Cody Lee Broom, 3261 Highway 49, Collins, MS 39428-3876 Ph: (601) 921-6043 |
Marlecia Grant, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 701 S Holly Ave, Collins, MS 39428 Phone: 601-765-6711 | |
South Mississippi Pt Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10 Melody Ln, Collins, MS 39428 Phone: 601-765-2900 Fax: 601-765-2903 | |
Dr. John Marty Cheeks, PT, DPT, DHS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 710 Main St Ste 10, Collins, MS 39428 Phone: 610-340-6872 | |
John Rayborn, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10 Melody Ln, Collins, MS 39428 Phone: 601-765-2900 Fax: 601-765-2903 | |
Olivia Robinson, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 701 S Holly Ave, Collins, MS 39428 Phone: 601-605-6777 | |
Holly Hawkins, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3261 Highway 49, Collins, MS 39428 Phone: 601-605-6777 | |
Hayley Rae Evelyn Tillman, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3261 Highway 49, Collins, MS 39428 Phone: 601-765-0519 |