Individual
DR. KRAIG KURTIS KNOTTS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
547 S FITNESS PL, SUITE 110, EAGLE, ID 83616-6552
(208) 939-3986
(208) 939-7186
Mailing address
547 S FITNESS PL, SUITE 110, EAGLE, ID 83616-6552
(208) 939-3986
(208) 939-7186
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
CHIA-1073
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C-4272
BLUE CROSS OF IDAHO
ID
Enumeration date
05/27/2006
Last updated
07/08/2007
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