Individual
JACK HENRY KNOWLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 PHYSICAL EDUCATION BUILDING, CHENEY, WA 99004-2476
(509) 357-2427
Mailing address
200 PHYSICAL EDUCATION BUILDING, CHENEY, WA 99004-2476
(509) 359-2427
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
WA
Other
Enumeration date
07/14/2025
Last updated
07/14/2025
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