Provider Demographics
NPI:1699099861
Name:COX, TONYA LYNN (LMP)
Entity type:Individual
Prefix:MRS
First Name:TONYA
Middle Name:LYNN
Last Name:COX
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:MISS
Other - First Name:TONYA
Other - Middle Name:LYNN
Other - Last Name:STINER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMP
Mailing Address - Street 1:11012 E AUGUSTA CT
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99206-2513
Mailing Address - Country:US
Mailing Address - Phone:509-443-5086
Mailing Address - Fax:
Practice Address - Street 1:14700 E INDIANA AVE
Practice Address - Street 2:1092
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99216-1839
Practice Address - Country:US
Practice Address - Phone:509-590-6060
Practice Address - Fax:509-590-6060
Is Sole Proprietor?:No
Enumeration Date:2010-03-17
Last Update Date:2010-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60112674225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1699099816Medicaid