Provider Demographics
NPI:1770295792
Name:COX, MAGGIE (LAT, ATC)
Entity type:Individual
Prefix:
First Name:MAGGIE
Middle Name:
Last Name:COX
Suffix:
Gender:F
Credentials:LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 808
Mailing Address - Street 2:
Mailing Address - City:ATASCADERO
Mailing Address - State:CA
Mailing Address - Zip Code:93423-0808
Mailing Address - Country:US
Mailing Address - Phone:702-379-8553
Mailing Address - Fax:
Practice Address - Street 1:1 HIGH SCHOOL HILL RD
Practice Address - Street 2:
Practice Address - City:ATASCADERO
Practice Address - State:CA
Practice Address - Zip Code:93422-4189
Practice Address - Country:US
Practice Address - Phone:805-462-4300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-21
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer