Provider Demographics
NPI:1255727186
Name:COX, TRINA KAY
Entity type:Individual
Prefix:
First Name:TRINA
Middle Name:KAY
Last Name:COX
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7742 S BRANCH RIVER RD
Mailing Address - Street 2:
Mailing Address - City:ROMNEY
Mailing Address - State:WV
Mailing Address - Zip Code:26757-7518
Mailing Address - Country:US
Mailing Address - Phone:304-813-7265
Mailing Address - Fax:304-822-7414
Practice Address - Street 1:68 HERITAGE CIR
Practice Address - Street 2:
Practice Address - City:ROMNEY
Practice Address - State:WV
Practice Address - Zip Code:26757-6341
Practice Address - Country:US
Practice Address - Phone:304-822-7255
Practice Address - Fax:304-822-7414
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-07
Last Update Date:2015-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV0293024332255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer