Provider Demographics
NPI:1548305071
Name:COX, JANE CAROL (PHYSICAL THERAPIST)
Entity type:Individual
Prefix:
First Name:JANE
Middle Name:CAROL
Last Name:COX
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:16445 SE 160 AVE
Mailing Address - Street 2:
Mailing Address - City:NORWICH
Mailing Address - State:KS
Mailing Address - Zip Code:67118-9011
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:854 N SOCORA ST
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67212-3238
Practice Address - Country:US
Practice Address - Phone:316-729-6236
Practice Address - Fax:316-729-0021
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS11-00931225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist