Provider Demographics
NPI:1538783766
Name:BOBBIT, CODY L (DPT)
Entity type:Individual
Prefix:
First Name:CODY
Middle Name:L
Last Name:BOBBIT
Suffix:
Gender:
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1415 N BUCKNER ST
Mailing Address - Street 2:
Mailing Address - City:DERBY
Mailing Address - State:KS
Mailing Address - Zip Code:67037-2929
Mailing Address - Country:US
Mailing Address - Phone:316-399-4613
Mailing Address - Fax:316-347-7939
Practice Address - Street 1:1415 N BUCKNER ST
Practice Address - Street 2:
Practice Address - City:DERBY
Practice Address - State:KS
Practice Address - Zip Code:67037-2929
Practice Address - Country:US
Practice Address - Phone:316-399-4613
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-03
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist