Individual
LISA ANNE KNIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
412 N BROADWAY AVE, SHAWNEE, OK 74801-6922
(405) 273-1523
(405) 273-1743
Mailing address
412 N BROADWAY AVE, SHAWNEE, OK 74801-6922
(405) 273-1523
(405) 273-1743
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
3498
KS
225100000X
Physical Therapist
Primary
5071
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141082
BCBS OF KS
KS
01
—
36939011
BCBS OF KC
KS
Enumeration date
05/17/2006
Last updated
02/19/2020
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