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NPI Code Detail

MEDICARE: MARISSA KNIGHT

MEDICARE: MARISSA KNIGHT
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
1225X00000XOccupational Therapist0005058CO

General Provider Information

NPI Number : 1548686736
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARISSA KNIGHT
Provider Business Mailing Address
First Line : 2284 MATTIVE PL
Second Line :
City : BRIGHTON
State : CO
Zip : 80601-3463
Country : US
Telephone Number : 616-581-5885
Fax Number :
Provider Business Practice Location Address
First Line : 1860 N LINCOLN ST FL 11
Second Line :
City : DENVER
State : CO
Zip : 80203-7301
Country : US
Telephone Number : 616-581-5885
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2014
Last Update Date : 04/21/2023

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Directions to “ MARISSA KNIGHT ” Practice Location

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