Healthcare Provider Details

I. General information

NPI: 1558284729
Provider Name (Legal Business Name): KARLA ANN KNAUF LAC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26 SCHOOL ST
CHILTON WI
53014-1346
US

IV. Provider business mailing address

26 SCHOOL ST
CHILTON WI
53014-1346
US

V. Phone/Fax

Practice location:
  • Phone: 920-849-4140
  • Fax: 920-849-7344
Mailing address:
  • Phone: 920-849-4140
  • Fax: 920-849-7344

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number1014-55
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: