Individual
DR. THEODORE KNATT SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4630 AMBASSADOR CAFFERY PKWY STE 206, LAFAYETTE, LA 70508-6949
(337) 470-3887
(337) 470-3896
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 765-5727
(225) 765-4278
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD.021167
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00119259
—
MS
05
—
1907600
—
LA
Enumeration date
07/12/2006
Last updated
03/31/2021
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