MEDICARE: SONDRA L KNAPCIK

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	2172-19	WI

General Provider Information

NPI Number	:	1801320205
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SONDRA L KNAPCIK

Provider Business Mailing Address
First Line	:	E3350 CURTIS LN
Second Line	:
City	:	EAU CLAIRE
State	:	WI
Zip	:	54701-8527
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2175 E PARK AVE
Second Line	:
City	:	CHIPPEWA FALLS
State	:	WI
Zip	:	54729-3511
Country	:	US
Telephone Number	:	715-720-6775
Fax Number	:

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

Provider Enumeration Date	:	04/12/2017
Last Update Date	:	01/01/2023

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Directions to “ SONDRA L KNAPCIK ” Practice Location

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