Provider Demographics
NPI:1275726432
Name:FOX, ANDREW KENNETH (PT)
Entity Type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:KENNETH
Last Name:FOX
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3301 SUNDOWN BLVD
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76210-8032
Mailing Address - Country:US
Mailing Address - Phone:940-387-3700
Mailing Address - Fax:940-488-4513
Practice Address - Street 1:3301 SUNDOWN BLVD
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76210-8032
Practice Address - Country:US
Practice Address - Phone:940-387-3700
Practice Address - Fax:940-488-4513
Is Sole Proprietor?:No
Enumeration Date:2007-08-21
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1385015225100000X
CO0011842225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist