Individual
COURTNEY COX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5 TIMBER CREEK CT, TOWANDA, IL 61776-7575
(309) 838-0962
Mailing address
2154 RENAULT DR APT C, SAINT LOUIS, MO 63146-2449
(309) 838-0962
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2019027861
MO
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/06/2019
Last updated
09/08/2023
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