Healthcare Provider Details

I. General information

NPI: 1124931969
Provider Name (Legal Business Name): SHERI LYNN KNIGHT C51813
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

527 KEISLER DR STE 104
CARY NC
27518-9306
US

IV. Provider business mailing address

527 KEISLER DR STE 104
CARY NC
27518-9306
US

V. Phone/Fax

Practice location:
  • Phone: 919-747-9336
  • Fax: 984-200-7575
Mailing address:
  • Phone: 919-747-9336
  • Fax: 984-200-7575

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code224900000X
TaxonomyMastectomy Fitter
License NumberC51813
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code225000000X
TaxonomyOrthotic Fitter
License NumberC51813
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: