Individual
SAMANTHA KNOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
5445 AVENUE O, FORT MADISON, IA 52627-9611
(319) 376-2180
Mailing address
5445 AVENUE O, FORT MADISON, IA 52627-9611
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005337
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0665463
—
IA
Enumeration date
03/31/2014
Last updated
04/15/2020
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