Individual
PETRA KNIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC, LAT
Contact information
Practice address
7508 BIG BEND BLVD, ST. LOUIS, MO 63119
(314) 647-1964
Mailing address
7508 BIG BEND BLVD, ST. LOUIS, MO 63119
(314) 647-1964
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2013028784
MO
Other
Enumeration date
12/03/2013
Last updated
12/03/2013
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