Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 11-00558 | KS |
N | 2251G0304X | Physical Therapist - Geriatrics | 11-00558 | KS |
NPI | 1245369586 |
---|---|
Provider Name | Daniel Knaup |
First Address | Pittsburg, KS 66762-3579 |
Second Address | Frontenac, KS 66763-2253 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/03/2007 |
Last Update Date | 08/07/2007 |