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

Cody Lee Broom

Individual provider Physical Therapist · NPI 1902537723

Cody Lee Broom is a Physical Therapist in Collins, Mississippi. Licensed in Mississippi. Registered with an NPI since 2022.

Licensed in
MS
In the registry since
2022

Practice location Address checks out

3261 Highway 49
Collins, MS 39428-3876
Phone: (601) 921-6043
Fax: (601) 921-6044
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT7219 (MS)

Record details

NPI number1902537723
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 22, 2022
Last updated in NPPESJune 22, 2022
Certification dateJune 22, 2022
Mailing address599c Steed Rd, Ridgeland, MS 39157-1707

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