IndividualActive
Cody Whittaker, CPOA
NPI 1629686480 · Prosthetist · Cookeville, TN
Provider details
- NPI number
- 1629686480
- Entity type
- Individual
- Primary specialty
- ProsthetistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- CPOA
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Orthotist222Z00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
735 W Jackson St
Cookeville, TN 38501-3993
Phone: (931) 854-9455
Fax: (931) 854-9457
Approximate (ZIP-level) locationGet directions
Mailing address
735 W Jackson St
Cookeville, TN 38501-3993
Registry dates
- Enumerated
- 2020-07-17
- Last updated
- 2020-07-17
- Certified
- 2020-07-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.