Individual
TAMMY FAYE KNECHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
505 N 3RD ST, ATTICA, IN 47918-1146
(765) 637-1862
Mailing address
505 N 3RD ST, ATTICA, IN 47918-1146
(765) 637-1862
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
190146201
—
376J00000X
Homemaker
—
—
Other
Enumeration date
02/15/2021
Last updated
02/15/2021
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