Individual
JODI L KNOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
258 EASTGATE DR UNIT 5, AIKEN, SC 29803-7698
(803) 373-5383
Mailing address
136 SILVER MEADOW CT, AIKEN, SC 29803-1655
(631) 834-0450
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X006504
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
129047
ACN
NY
01
—
5185026
AETNA/US HEALTH CARE
NY
01
—
5897704
GHI
NY
01
—
856310
UNITED HEALTH CARE
NY
01
—
C06504
WORKERS COMP.
NY
01
—
P938436
OXFORD
NY
01
—
X6R341
EMPIRE BC/BS
NY
Enumeration date
08/13/2006
Last updated
12/01/2022
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