Provider Demographics
NPI:1427108562
Name:LOOX, JEFFREY CRAIG (PT, MOMT)
Entity type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:CRAIG
Last Name:LOOX
Suffix:
Gender:M
Credentials:PT, MOMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13540 VENTURA BLVD
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91423-3826
Mailing Address - Country:US
Mailing Address - Phone:818-990-0267
Mailing Address - Fax:818-990-0261
Practice Address - Street 1:13540 VENTURA BLVD
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91423-3826
Practice Address - Country:US
Practice Address - Phone:818-990-0267
Practice Address - Fax:818-990-0261
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15747225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist