National Provider Identifier
Cody Mason Herbert, MS, ATC
Cody Mason Herbert, MS, ATC is listed in the NPPES registry with a primary specialty of Athletic Trainer in Ithaca, NY and a listed phone number of (607) 255-4237.
Profile Overview
- NPI
- 1104193077
- Provider Type
- Individual
- Primary Specialty
- Athletic Trainer
- Enumeration Date
- November 21, 2011
- Last Updated
- November 21, 2011
Practice Location
- 512 Campus RD.
- Teagle Hall
- Ithaca, NY 14850
Phone: (607) 255-4237
Mailing Address
- 110 W Marshall St
- Apt 2
- Ithaca, NY 14850-3546
Specialties
- Athletic Trainer (2255A2300X)
Full Record
- NPI
- 1104193077
- Entity Type
- Individual
- Last Name
- Herbert
- First Name
- Cody
- Middle Name
- Mason
- Credential
- MS, ATC
- Mailing Street Address
- 110 W Marshall St
- Mailing Address Line 2
- Apt 2
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-3546
- Mailing Country
- US
- Mailing Phone
- (973) 903-7663
- Practice Street Address
- 512 Campus RD.
- Practice Address Line 2
- Teagle Hall
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850
- Practice Country
- US
- Practice Phone
- (607) 255-4237
- Enumeration Date
- November 21, 2011
- Last Updated
- November 21, 2011
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Athletic Trainer (2255A2300X)