Provider Demographics
NPI:1982921664
Name:COX, JOSEPH AARON (LMP)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:AARON
Last Name:COX
Suffix:
Gender:M
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 BROADWAY AVE E PMB 311
Mailing Address - Street 2:PMB 311
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98102
Mailing Address - Country:US
Mailing Address - Phone:206-913-9613
Mailing Address - Fax:
Practice Address - Street 1:422 YALE AVE N
Practice Address - Street 2:APT 203
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98109-5449
Practice Address - Country:US
Practice Address - Phone:206-913-9613
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-21
Last Update Date:2010-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60141882225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist