Organization
HOLISTIC ROOTS OT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTA R THANOS-KNAPP MOT, OTR/L (MANAGING MEMBER/OWNER)
(773) 308-6513
Entity
Organization
Contact information
Practice address
2016 N MAIN ST, DAVENPORT, IA 52803-2911
(773) 308-6513
Mailing address
2016 N MAIN ST, DAVENPORT, IA 52803-2911
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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