Individual
MISS TASHA L KNEPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
13575 W MCDOWELL RD, GOODYEAR, AZ 85395-2604
(623) 536-9911
Mailing address
5123 W WINDROSE DR, GLENDALE, AZ 85304-1943
(480) 489-7145
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-013877
AZ
Other
Enumeration date
03/15/2019
Last updated
03/15/2019
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