Healthcare Provider Details

I. General information

NPI: 1285515270
Provider Name (Legal Business Name): STEVEN KNOTTS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/08/2025
Last Update Date: 09/12/2025
Certification Date: 09/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50876 897TH RD
LYNCH NE
68746-3535
US

IV. Provider business mailing address

50876 897TH RD
LYNCH NE
68746-3535
US

V. Phone/Fax

Practice location:
  • Phone: 405-569-8022
  • Fax:
Mailing address:
  • Phone: 402-569-8022
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: