Organization
S J KNACKSTEDT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVE JAY KNACKSTEDT OT (PRESIDENT)
(505) 265-3959
Entity
Organization
Contact information
Practice address
4516 ALTURA PLACE NE, ALBUQUERQUE, NM 87110-5706
(505) 265-3959
(505) 262-9222
Mailing address
4516 ALTURA PLACE NE, ALBUQUERQUE, NM 87110-5706
(505) 265-3959
(505) 262-9222
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
144
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D4185
—
NM
Enumeration date
01/08/2007
Last updated
08/22/2020
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