Healthcare Provider Details
I. General information
NPI: 1770870768
Provider Name (Legal Business Name): MEGAN NICOLE KNOX D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/29/2011
Last Update Date: 03/18/2025
Certification Date: 03/14/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
103 E 4TH ST
PINEVILLE MO
64856-8204
US
IV. Provider business mailing address
PO BOX 672
PINEVILLE MO
64856-0672
US
V. Phone/Fax
- Phone: 479-855-7374
- Fax: 417-226-4405
- Phone: 479-855-7374
- Fax: 417-223-4405
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 111NR0400X |
| Taxonomy | Rehabilitation Chiropractor |
| License Number | 2011019742 |
| License Number State | MO |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 111NX0100X |
| Taxonomy | Occupational Health Chiropractor |
| License Number | 2011019742 |
| License Number State | MO |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | 2011019742 |
| License Number State | MO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: