Cody Joseph Fletcher, ATC, LAT
Individual provider Active NPI Athletic Trainer · Henderson, TN
NPI 1407473085 · NPPES record last updated Jun 30, 2020
Key facts
- NPI
- 1407473085
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 0000001835 (TN)
- Practice address
- 158 E Main St
Henderson, TN 38340-2306 - Phone
- (573) 999-3792
- NPI assigned
- Jun 30, 2020
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000001835 | TN | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Freed-Hardeman University | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 0000001835 | TN | Yes |
Addresses
Primary practice location
158 E Main St
Henderson, TN 38340-2306
Mailing address
80 Timber Ridge CV
Henderson, TN 38340-4451
Phone (573) 999-3792
Other providers in Henderson, TN
- Margaret Duncan
- Nancy Ann Edwards
- Faith Counseling, PLLC
- Fast Pace Medical Clinic PLLC
- Fast Pace Medical Clinic PLLC
- Joshua Fortner
- Fred'S Pharmacy
- Freed-Hardeman University
- Frix-Jennings Clinic PC
- Carey Wallace Frix
All providers in Henderson, TN · Athletic Trainer in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.