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NPI Code Detail

MEDICARE: RENDI LYNN KNOTT LCMFT, LMFT

MEDICARE: RENDI LYNN KNOTT LCMFT, LMFT
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
1106H00000XMarriage & Family Therapist2828KS
2106H00000XMarriage & Family Therapist2020021682MO
3106H00000XMarriage & Family Therapist2929KS

General Provider Information

NPI Number : 1629556154
Entity Type Code : Individual
Provider Name (Legal Business Name) : RENDI LYNN KNOTT LCMFT, LMFT
Provider Business Mailing Address
First Line : 11515 S BLACKBOB RD
Second Line :
City : OLATHE
State : KS
Zip : 66062-4901
Country : US
Telephone Number : 913-605-6997
Fax Number :
Provider Business Practice Location Address
First Line : 11515 S BLACKBOB RD
Second Line :
City : OLATHE
State : KS
Zip : 66062-4901
Country : US
Telephone Number : 913-605-6997
Fax Number : 913-585-8963
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2018
Last Update Date : 04/16/2025

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