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Individual

DAVID E KNOEPPEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
625 9TH AVENUE, SUITE 220, LONGVIEW, WA 98632-2544
(360) 578-1188
(360) 578-6251
Mailing address
625 9TH AVENUE, SUITE 220, LONGVIEW, WA 98632-2544
(360) 578-1188
(360) 578-6251

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00003129
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
113278
KAISER PERMANENTE
WA
01
179683
DEPARTMENT OF LABOR AND I
WA
05
8103343
WA
01
8930120
CRIME VICTIMS
WA
01
K465802
PACIFIC SOURCE
WA
Enumeration date
07/08/2005
Last updated
07/11/2007
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