MEDICARE: SANDRA LEE KNOL

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	225XP0019X	Physical Rehabilitation Occupational Therapist	OT.0005074	CO

General Provider Information

NPI Number	:	1073442620
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANDRA LEE KNOL

Provider Business Mailing Address
First Line	:	898 SAN LUIS CT
Second Line	:
City	:	FRUITA
State	:	CO
Zip	:	81521-6805
Country	:	US
Telephone Number	:	847-849-9725
Fax Number	:	847-849-9725

Provider Business Practice Location Address
First Line	:	2656 PATTERSON RD
Second Line	:
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81506-8820
Country	:	US
Telephone Number	:	970-298-7734
Fax Number	:

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

Provider Enumeration Date	:	05/18/2026
Last Update Date	:	05/18/2026

Similar Medicare Providers

1619566072 — GRAND JUNCTION WELLAGE PACIFICA, LLC
Practice Location Address:

2656 PATTERSON RD
GRAND JUNCTION, CO
81506-8820

Practice Phone: 970-822-4141
Practice Fax: 970-245-0771

1932058526 — SELF-FLOURISH, LLC
Practice Location Address:

1827 GRAND ISLE DR.
BRANDON, FL
33511-8820

Practice Phone: 813-360-1077
Practice Fax:

1053241273 — ALEXIS R DORMIO BCBA
Practice Location Address:

2742 CROSSROADS BLVD
GRAND JUNCTION, CO
81506-3933

Practice Phone: 970-852-9018
Practice Fax:

1942138979 — COLORADO SURGICAL AFFILIATES, LLC
Practice Location Address:

2737 CROSSROADS BLVD
GRAND JUNCTION, CO
81506-3954

Practice Phone: 970-243-3061
Practice Fax:

1790820231 — ALBINA ELIZABETH GADELIYA M.D.
Practice Location Address:

3150 N 12TH ST
GRAND JUNCTION, CO
81506-2863

Practice Phone: 970-245-9370
Practice Fax: 970-254-2595

1295403418 — ANNA MASCIOLA
Practice Location Address:

3150 N 12TH ST
GRAND JUNCTION, CO
81506-2863

Practice Phone: 970-243-5437
Practice Fax:

Directions to “ SANDRA LEE KNOL ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.