MEDICARE: ABBY 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	225X00000X	Occupational Therapist	5201013954	MI

General Provider Information

NPI Number	:	1891449831
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABBY KNIGHT

Provider Business Mailing Address
First Line	:	616 S CREYTS RD STE A
Second Line	:
City	:	LANSING
State	:	MI
Zip	:	48917-8269
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	616 S CREYTS RD STE A
Second Line	:
City	:	LANSING
State	:	MI
Zip	:	48917-8269
Country	:	US
Telephone Number	:	517-258-7889
Fax Number	:

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

Provider Enumeration Date	:	02/08/2022
Last Update Date	:	08/18/2025

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Directions to “ ABBY KNIGHT ” Practice Location

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