Raymond John Knutson in Saint Peter - Exercise & Sports
Raymond John Knutson - NPI 1043426836
Raymond John Knutson is a Exercise & Sports in Saint Peter, Minnesota. Raymond John Knutson practices all healthcare services and medical treatments related to Exercise & Sports. The NPI Number for Raymond John Knutson is 1043426836. The last update date is 2007-07-09.
Raymond John Knutson's current location address is 2100 Sheppard Dr, Saint Peter, Minnesota. You can contact this provider via phone number 5079317012 and fax number 5079317180. The mailing address for Raymond John Knutson is 2100 Sheppard Dr, Saint Peter, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Raymond John Knutson |
|---|---|
| Address | 2100 Sheppard Dr, Saint Peter, Minnesota |
| Phone Number | 5079317012 |
| Fax Number | 5079317180 |
| Sole Proprietor | Y |
| Credentials | M.A., L.P. |
NPI Number Detail
| NPI Number | 1043426836 |
|---|---|
| Provider Enumeration Date | 2007-05-16 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 2100 Sheppard Dr |
|---|---|
| City | Saint Peter |
| State | Minnesota (MN) |
| Post Code | 560822527 |
| Phone Number | 5079317012 |
| Fax Number | 5079317180 |
Provider's Primary Taxonomy Detail
| Speciality | Exercise & Sports |
|---|---|
| Taxonomy | 103Te1100X |
| Licence No | LP1890 |
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Definition: A psychologist with a proficiency in sports psychology that uses psychological knowledge and skills to address optimal performance and well-being of athletes, developmental and social aspects of sports participation, and systemic issues associated wi |
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What is the unique 10-digit identifier code assigned to Raymond John Knutson by the Centers for Medicare & Medicaid Services?
The Raymond John Knutson has been issued the NPI (National Provider Identifier) 1043426836 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Raymond John Knutson's physical address?
The Raymond John Knutson is physically located at 2100 Sheppard Dr, in the city of Saint Peter, MN, with the postal code 560822527.
What is the Raymond John Knutson's area of specialization and corresponding taxonomy classification?
The Raymond John Knutson's specialty field is Exercise & Sports, and it falls under the taxonomy code 103Te1100X, which categorizes healthcare providers based on their specialties.
On what date did the Raymond John Knutson receive its 1043426836 assignment from the Centers for Medicare & Medicaid Services?
The Raymond John Knutson was assigned its 1043426836 by the Centers for Medicare & Medicaid Services on 2007-05-16.
As of what date were the Raymond John Knutson's details last updated?
The information pertaining to the Raymond John Knutson, including its address, specialty, and other details, was most recently updated on 2007-07-09.
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