Individual
SAMANTHA MCKNIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA.0013943
Contact information
Practice address
1486 28TH LN, PUEBLO, CO 81006-9648
(719) 369-2237
Mailing address
1486 28TH LN, PUEBLO, CO 81006-9648
(719) 369-2237
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0013943
CO
Other
Enumeration date
02/07/2017
Last updated
02/07/2017
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