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General NPI Number Information
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NPI Number | 1063377406
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Entity Type | Individual
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Provider Name | CODY IOERGER CPTA
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Gender | Male
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Dates
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Enumeration Date | 12/18/2025
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 650 HUEBNER RD
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City | FT RILEY
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State | KS
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Zip | 66442-4030
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Country | US
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Telephone | 785-240-7113
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Fax |
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Provider Business Mailing Address
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Address Line | 825 EWING RD
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City | MANHATTAN
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State | KS
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Zip | 66502-4413
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Country | US
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Telephone | 785-221-5547
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 14-01831
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License Number State | KS
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