Individual
HUNTER KNIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
301B E 1ST ST, PORTAGEVILLE, MO 63873-1605
(573) 379-2833
Mailing address
301B E 1ST ST, PORTAGEVILLE, MO 63873-1605
(573) 379-2833
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2016002052
MO
Other
Enumeration date
01/31/2018
Last updated
01/31/2018
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