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Individual

PAIGE KNOTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
815 TRIPLETT ST, OWENSBORO, KY 42303-3564
(270) 683-4517
Mailing address
815 TRIPLETT ST, OWENSBORO, KY 42303-3564
(270) 683-4517

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0064846
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
184517
MEDICARE
KY
05
45118379
KY
Enumeration date
06/10/2016
Last updated
06/10/2016
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