Individual
MR. SCOTT GREGORY KNOCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
800 NW MAIN ST STE 100, LEES SUMMIT, MO 64086-9311
(816) 524-7040
(816) 524-7057
Mailing address
800 NW MAIN ST STE 100, LEES SUMMIT, MO 64086-9311
(816) 524-7040
(816) 524-7057
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
01806
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16760036
BLUE CROSS BLUE SHIELD
MO
Enumeration date
09/27/2006
Last updated
09/30/2020
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