MEDICARE: MRS. MEGAN KNIGHT CMT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	80314	CA

General Provider Information

NPI Number	:	1003704024
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MEGAN KNIGHT CMT

Provider Business Mailing Address
First Line	:	1622 N ST APT 209
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95814-5089
Country	:	US
Telephone Number	:	916-283-1281
Fax Number	:

Provider Business Practice Location Address
First Line	:	2716 V ST # 209
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95818-1901
Country	:	US
Telephone Number	:	916-643-3145
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/26/2025
Last Update Date	:	06/26/2025

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