Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cody Allen Waters

Individual provider Physical Therapist · NPI 1639687155

Cody Allen Waters is a Physical Therapist in Fairmont, West Virginia. Practices as a sole proprietor. Licensed in West Virginia.

Licensed in
WV
In the registry since
2018

Practice location Address checks out

1539 Country Club Rd
Fairmont, WV 26554-1306
Phone: (304) 366-9100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 003879 (WV)

Record details

NPI number1639687155
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 18, 2018
Last updated in NPPESJanuary 18, 2018
Mailing address837 Monongalia Ave, Morgantown, WV 26505-5732

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