MEDICARE: MR. ANDREW KENNETH FOX P.T.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	1385015	TX
2	225100000X	Physical Therapist	0011842	CO

General Provider Information

NPI Number	:	1275726432
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ANDREW KENNETH FOX P.T.

Provider Business Mailing Address
First Line	:	3301 SUNDOWN BLVD
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76210-8032
Country	:	US
Telephone Number	:	940-387-3700
Fax Number	:	940-488-4513

Provider Business Practice Location Address
First Line	:	3301 SUNDOWN BLVD
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76210-8032
Country	:	US
Telephone Number	:	940-387-3700
Fax Number	:	940-488-4513

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/21/2007
Last Update Date	:	11/07/2023

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Directions to “ MR. ANDREW KENNETH FOX P.T.” Practice Location

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