Healthcare Provider Details

I. General information

NPI: 1649118324
Provider Name (Legal Business Name): TIFFANY KNECHT DANIELS
Entity Type: Individual
Gender:
Sole Proprietor: N

Provider Other Name: TIFFANY KNECHT

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 W 22ND ST
SIOUX FALLS SD
57105-1554
US

IV. Provider business mailing address

4410 W 59TH ST UNIT 1
SIOUX FALLS SD
57108-2313
US

V. Phone/Fax

Practice location:
  • Phone: 605-336-3416
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: