Individual
DEREK JAMES KNOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
320 E CENTRAL AVE, ZEELAND, MI 49464-1706
(616) 772-9191
Mailing address
5880 CANAL AVE SW, WYOMING, MI 49418-9372
(616) 250-1029
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101005757
MI
Other
Enumeration date
02/01/2019
Last updated
05/27/2025
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