IndividualActive
Cody Lake, DPT
NPI 1841897253 · Physical Therapist · Mustang, OK
Provider details
- NPI number
- 1841897253
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
433 E State Highway 152
Mustang, OK 73064-4519
Phone: (405) 353-2159
Approximate (ZIP-level) locationGet directions
Mailing address
440 Merchant Dr
Norman, OK 73069-6470
Additional practice locations (1)
- 800 Garth Brooks BlvdYukon, OK 73099-3841Phone: (405) 350-3336
Registry dates
- Enumerated
- 2020-10-08
- Last updated
- 2020-11-17
- Certified
- 2020-11-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.