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NPI Code Detail

MEDICARE: KELLY MCCALL KNOTT PT

MEDICARE:   KELLY MCCALL KNOTT  PT
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
1225100000XPhysical TherapistPTL.0012978CO

General Provider Information

NPI Number : 1922636091
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELLY MCCALL KNOTT PT
Provider Business Mailing Address
First Line : 1231 W MIDLAND AVE
Second Line :
City : WOODLAND PARK
State : CO
Zip : 80863-2343
Country : US
Telephone Number : 719-400-8091
Fax Number : 719-622-3326
Provider Business Practice Location Address
First Line : 1231 W MIDLAND AVE
Second Line :
City : WOODLAND PARK
State : CO
Zip : 80863-2343
Country : US
Telephone Number : 719-400-8091
Fax Number : 719-622-3326
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2020
Last Update Date : 12/08/2025

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Directions to “ KELLY MCCALL KNOTT PT” Practice Location

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