Provider Demographics
NPI:1568480945
Name:COX, CHRISTOPHER A (DPT)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:A
Last Name:COX
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:408 BASIN ST NW
Mailing Address - Street 2:
Mailing Address - City:EPHRATA
Mailing Address - State:WA
Mailing Address - Zip Code:98823-1630
Mailing Address - Country:US
Mailing Address - Phone:509-754-6100
Mailing Address - Fax:509-754-6112
Practice Address - Street 1:408 BASIN ST NW
Practice Address - Street 2:
Practice Address - City:EPHRATA
Practice Address - State:WA
Practice Address - Zip Code:98823-1630
Practice Address - Country:US
Practice Address - Phone:509-754-6100
Practice Address - Fax:509-754-6112
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2010-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT 60115135225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV38104Medicare ID - Type Unspecified