Healthcare Provider Details

I. General information

NPI: 1386650216
Provider Name (Legal Business Name): DANIEL E. KNUDSEN AU.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: DANIEL E. KNUDSEN AU.D.

II. Dates (important events)

Enumeration Date: 07/31/2006
Last Update Date: 11/20/2025
Certification Date: 11/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7950 6TH ST
WELLINGTON CO
80549-1830
US

IV. Provider business mailing address

1921 MAINSAIL DR
FORT COLLINS CO
80524-6708
US

V. Phone/Fax

Practice location:
  • Phone: 970-817-2300
  • Fax: 970-817-2301
Mailing address:
  • Phone: 970-817-2300
  • Fax: 970-817-2301

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number643
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number00643
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: