MEDICARE: BRITTANY L KNETTER PT, DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist		WI

General Provider Information

NPI Number	:	1033565866
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY L KNETTER PT, DPT

Provider Business Mailing Address
First Line	:	586 SHEPARD ST
Second Line	:
City	:	RHINELANDER
State	:	WI
Zip	:	54501-3552
Country	:	US
Telephone Number	:	715-365-5252
Fax Number	:

Provider Business Practice Location Address
First Line	:	586 SHEPARD ST
Second Line	:
City	:	RHINELANDER
State	:	WI
Zip	:	54501-3552
Country	:	US
Telephone Number	:	715-365-5252
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2016
Last Update Date	:	02/13/2018

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