Individual
MRS. KIMBERLY MICHELLE KNAPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
6846 S CANTON AVE STE 120, TULSA, OK 74136-3413
(918) 806-0106
(918) 806-0113
Mailing address
6846 S CANTON AVE STE 120, TULSA, OK 74136-3413
(918) 806-0106
(918) 806-0113
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2852
OK
2251P0200X
Pediatric Physical Therapist
2852
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100834710
—
OK
Enumeration date
06/08/2006
Last updated
08/16/2022
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