Provider Demographics
NPI:1497978431
Name:COX, TERRY (PT OCS)
Entity Type:Individual
Prefix:MR
First Name:TERRY
Middle Name:
Last Name:COX
Suffix:
Gender:M
Credentials:PT OCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1342 E PRIMROSE
Mailing Address - Street 2:SUITE A
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65804-4224
Mailing Address - Country:US
Mailing Address - Phone:417-890-7787
Mailing Address - Fax:417-890-9397
Practice Address - Street 1:1342 E PRIMROSE ST
Practice Address - Street 2:SUITE A
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65804-4224
Practice Address - Country:US
Practice Address - Phone:417-890-7787
Practice Address - Fax:417-890-9397
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO018012251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic