Provider Demographics
NPI:1083842447
Name:LEGLER, CHRISTOPHER COX (PT)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:COX
Last Name:LEGLER
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1320 W IRON SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT
Mailing Address - State:AZ
Mailing Address - Zip Code:86305-1414
Mailing Address - Country:US
Mailing Address - Phone:928-771-2977
Mailing Address - Fax:928-771-2987
Practice Address - Street 1:1320 W IRON SPRINGS RD
Practice Address - Street 2:
Practice Address - City:PRESCOTT
Practice Address - State:AZ
Practice Address - Zip Code:86305-1414
Practice Address - Country:US
Practice Address - Phone:928-771-2977
Practice Address - Fax:928-771-2987
Is Sole Proprietor?:No
Enumeration Date:2009-06-24
Last Update Date:2009-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ8532225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist