Provider Demographics
NPI:1396053872
Name:COX, SHERYL LOU (PT)
Entity type:Individual
Prefix:MS
First Name:SHERYL
Middle Name:LOU
Last Name:COX
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 ROGERS TRL
Mailing Address - Street 2:
Mailing Address - City:LA GRANGE
Mailing Address - State:TX
Mailing Address - Zip Code:78945-5452
Mailing Address - Country:US
Mailing Address - Phone:512-657-5881
Mailing Address - Fax:512-233-2807
Practice Address - Street 1:2014 MERRIMAC TRL
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75043-1235
Practice Address - Country:US
Practice Address - Phone:972-864-0125
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-19
Last Update Date:2010-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1-20774225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist