Healthcare Provider Details

I. General information

NPI: 1407046568
Provider Name (Legal Business Name): MR. ROBERT WINSLOW KNIGHT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/25/2007
Last Update Date: 07/25/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1215 21ST AVE S SUITE 3312, SOUTH TOWER MCE
NASHVILLE TN
37232-0014
US

IV. Provider business mailing address

1215 21ST AVE S SUITE 3312, SOUTH TOWER MCE
NASHVILLE TN
37232-0014
US

V. Phone/Fax

Practice location:
  • Phone: 615-835-1115
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251G0304X
TaxonomyGeriatric Physical Therapist
License NumberPT0000002584
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: