# PROVEN PHYSICAL THERAPY, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902596562
- **Authorized official:** DR. MARISSA KAY KNOTT DPT (PHYSICAL THERAPIST)
- **Authorized official phone:** (712) 318-1919

## Contact information

- **Practice address:** 601 SNYDER RD, WOODBINE, IA 51579-1123
- **Practice address phone:** (712) 318-1919
- **Mailing address:** 2417 EASTON TRL, PISGAH, IA 51564-4029
- **Mailing address phone:** (712) 318-1919

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/08/2023
- **Last updated:** 05/08/2023