Provider Demographics
NPI:1558983312
Name:COX, KAREN J (LAC, DOM, LMT)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:J
Last Name:COX
Suffix:
Gender:F
Credentials:LAC, DOM, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:6400 MANATEE AVE W.
Mailing Address - Street 2:STE G
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34209
Mailing Address - Country:US
Mailing Address - Phone:941-242-0022
Mailing Address - Fax:941-242-0022
Practice Address - Street 1:6400 MANATEE AVE WEST
Practice Address - Street 2:STE G
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34209
Practice Address - Country:US
Practice Address - Phone:941-242-0022
Practice Address - Fax:941-242-0022
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-14
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP3990171100000X
FLMA40916225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No171100000XOther Service ProvidersAcupuncturist