Individual
CARLIE KNUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2836 LAVISTA RD STE 1B, DECATUR, GA 30033-1300
(678) 894-4410
(678) 894-4409
Mailing address
33900 HARPER AVE STE 104, CLINTON TWP, MI 48035-4258
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
CP048540A
GA
Other
Enumeration date
08/11/2025
Last updated
10/29/2025
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