Healthcare Provider Details

I. General information

NPI: 1508797770
Provider Name (Legal Business Name): DANIA LYNN KNOTEK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 S BEDFORD ST STE 7
MADISON WI
53703-3695
US

IV. Provider business mailing address

4401 CRESCENT RD APT 3
FITCHBURG WI
53711-4859
US

V. Phone/Fax

Practice location:
  • Phone: 608-313-7030
  • Fax:
Mailing address:
  • Phone: 262-344-0653
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: