Individual
MRS. AMY MICHELLE KNACKSTEDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1809 CLARKSON RD, CHESTERFIELD, MO 63017-5065
(636) 532-2672
(636) 532-4560
Mailing address
1321 13TH ST, HIGHLAND, IL 62249-1935
(618) 792-6966
(636) 532-4560
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
0474101
MO
Other
Enumeration date
01/26/2012
Last updated
01/26/2012
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