Individual
TIFFANY ELLIS KNIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC, OTC
Contact information
Practice address
2700 N COLLEGE RD, WILMINGTON, NC 28405-8816
(910) 350-2089
Mailing address
5570 LIVINGSTON CHAPEL RD, DELCO, NC 28436-9626
(910) 617-1094
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
1575
SC
2255A2300X
Athletic Trainer
Primary
LAT-3629
NC
246ZX2200X
Orthopedic Assistant
—
—
Other
Enumeration date
01/16/2015
Last updated
01/18/2024
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