Individual
KYLE DOUGLAS KNAPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
2950 S ELM PL, SUITE 460, BROKEN ARROW, OK 74012-7877
(918) 451-1100
(918) 451-0082
Mailing address
2950 S ELM PL, SUITE 460, BROKEN ARROW, OK 74012-7877
(918) 451-1100
(918) 451-0082
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2645
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5202899
CIGNA
—
01
—
7611583
AETNA
—
Enumeration date
06/30/2006
Last updated
10/29/2010
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