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

Cody Bryan Oliver, LAT, ATC

Individual provider Sports Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1457991697

Cody Bryan Oliver, LAT, ATC is a Sports Medicine (Physical Medicine & Rehabilitation) Physician in Tyler, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2020
What do these letters mean?
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

3900 University Blvd
Tyler, TX 75799-6600
Phone: (903) 565-5742
Show map & directions

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

Specialties & licences

Sports Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081S0010X · Licence AT7635 (TX)

Record details

NPI number1457991697
Entity typeIndividual (Type 1)
GenderMale
Credentials LAT , ATC
Sole proprietorYes
NPI enumeratedJanuary 15, 2020
Last updated in NPPESJanuary 15, 2020
Certification dateJanuary 15, 2020

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