Provider Demographics
NPI:1275303513
Name:COXWORTH, SYDNEY (DC)
Entity type:Individual
Prefix:DR
First Name:SYDNEY
Middle Name:
Last Name:COXWORTH
Suffix:
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 84
Mailing Address - Street 2:
Mailing Address - City:WINNEBAGO
Mailing Address - State:MN
Mailing Address - Zip Code:56098-0084
Mailing Address - Country:US
Mailing Address - Phone:507-236-4218
Mailing Address - Fax:
Practice Address - Street 1:1 MAIN ST N
Practice Address - Street 2:
Practice Address - City:WINNEBAGO
Practice Address - State:MN
Practice Address - Zip Code:56098-2097
Practice Address - Country:US
Practice Address - Phone:507-600-0657
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-08
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN7219111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor