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

Cody Deardorff, MAT, LAT, ATC

Individual provider Athletic Trainer · NPI 1235744913

Cody Deardorff, MAT, LAT, ATC is an Athletic Trainer in Lubbock, Texas. Licensed in Texas. Registered with an NPI since 2020.

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

3211 47th St
Lubbock, TX 79413-4112
Phone: (806) 219-2042
Fax: (806) 766-0705
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence AT7951 (TX)

Record details

NPI number1235744913
Entity typeIndividual (Type 1)
GenderMale
Credentials MAT , LAT , ATC
Sole proprietorNo
NPI enumeratedSeptember 10, 2020
Last updated in NPPESSeptember 10, 2020
Certification dateSeptember 10, 2020

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