Provider Demographics
NPI:1942929484
Name:COX-THOMAS, LATOYA (LMT)
Entity Type:Individual
Prefix:
First Name:LATOYA
Middle Name:
Last Name:COX-THOMAS
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1018 BIRCH CIR
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36830-5780
Mailing Address - Country:US
Mailing Address - Phone:334-524-7333
Mailing Address - Fax:
Practice Address - Street 1:165 1ST STREET
Practice Address - Street 2:UNIT B
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36830
Practice Address - Country:US
Practice Address - Phone:334-524-7333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-26
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225700000X
AL6029225700000X
GAMT014243225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist