Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225700000X | Massage Therapist | MA00014854 | WA |
NPI | 1013141878 |
---|---|
Provider Name | George Edwin Knapp |
First Address | Spokane, WA 99220-2800 |
Second Address | Spokane, WA 99223 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2009 |
Last Update Date | 30/05/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1154414761 | COLUMBIA MEDICAL ASSOCIATES GROUP NPI NUMBER (01) | WA |