Provider Demographics
NPI:1538741012
Name:HONEYCUTT, CODY JAMES (DPT)
Entity type:Individual
Prefix:
First Name:CODY
Middle Name:JAMES
Last Name:HONEYCUTT
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 REEDY VIEW DR APT 369
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29601-1869
Mailing Address - Country:US
Mailing Address - Phone:205-337-4931
Mailing Address - Fax:
Practice Address - Street 1:1322 E WASHINGTON ST STE B1
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29607-1867
Practice Address - Country:US
Practice Address - Phone:864-729-4081
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-24
Last Update Date:2021-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist