Individual
BETHANY COX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, CFR
Contact information
Practice address
1742 W KENTUCKY AVE, RUSTON, LA 71270-9581
(318) 548-5474
Mailing address
1742 W KENTUCKY AVE, RUSTON, LA 71270-9581
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LA5374
LA
Other
Enumeration date
05/27/2015
Last updated
05/27/2015
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