Provider Demographics
NPI:1497813307
Name:COX, JODI J (PT)
Entity Type:Individual
Prefix:
First Name:JODI
Middle Name:J
Last Name:COX
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:169 GETTYSBURG
Mailing Address - Street 2:
Mailing Address - City:COATESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46121-8956
Mailing Address - Country:US
Mailing Address - Phone:317-370-8399
Mailing Address - Fax:765-386-7565
Practice Address - Street 1:169 GETTYSBURG
Practice Address - Street 2:
Practice Address - City:COATESVILLE
Practice Address - State:IN
Practice Address - Zip Code:46121-8956
Practice Address - Country:US
Practice Address - Phone:317-370-8399
Practice Address - Fax:765-386-7565
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05002058A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist