Healthcare Provider Details
I. General information
NPI: 1568153583
Provider Name (Legal Business Name): ERYN MCKNIGHT DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/19/2023
Last Update Date: 05/19/2023
Certification Date: 05/19/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9097 E DESERT COVE AVE STE 110
SCOTTSDALE AZ
85260-6276
US
IV. Provider business mailing address
14287 N 87TH ST STE 220
SCOTTSDALE AZ
85260-3698
US
V. Phone/Fax
- Phone: 480-860-4298
- Fax: 480-860-0165
- Phone: 480-937-1000
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | 32976 |
| License Number State | AZ |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: