Individual
DOUGLAS P. COX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
421 W 2ND S, SODA SPRINGS, ID 83276-1568
(208) 236-1600
(208) 236-6695
Mailing address
421 W 2ND S, SODA SPRINGS, ID 83276-1568
(208) 236-1600
(208) 236-6695
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
RPT480
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
T4215
BLUE CROSS OF IDAHO
ID
Enumeration date
07/20/2006
Last updated
07/08/2007
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