Individual
TINA ELIZABETH COX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
S71W23325 NATIONAL AVE, SUITE 5, BIG BEND, WI 53103-9495
(262) 662-9775
(262) 662-9773
Mailing address
735 CAMERON CIR, HARTLAND, WI 53029-2509
(623) 521-4536
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3782-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
WI
Enumeration date
08/12/2008
Last updated
08/12/2008
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