MEDICARE: MRS. CATHERINE KNIGHT

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	225200000X	Physical Therapy Assistant		FL

General Provider Information

NPI Number	:	1578726469
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CATHERINE KNIGHT

Provider Business Mailing Address
First Line	:	95 VISTA RD
Second Line	:
City	:	IDAHO SPRINGS
State	:	CO
Zip	:	80452-9552
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	95 VISTA RD
Second Line	:
City	:	IDAHO SPRINGS
State	:	CO
Zip	:	80452-9552
Country	:	US
Telephone Number	:	404-641-7765
Fax Number	:

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

Provider Enumeration Date	:	07/09/2008
Last Update Date	:	07/09/2008

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Directions to “ MRS. CATHERINE KNIGHT ” Practice Location

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