Kraig Kurtis Knotts in Eagle - Sports Physician

Kraig Kurtis Knotts - NPI 1205883170

Kraig Kurtis Knotts is a Sports Physician in Eagle, Idaho. Kraig Kurtis Knotts practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Kraig Kurtis Knotts is 1205883170. The last update date is 2007-07-08.

Kraig Kurtis Knotts's current location address is 547 S Fitness Pl, Eagle, Idaho. You can contact this provider via phone number 2089393986 and fax number 2089397186. The mailing address for Kraig Kurtis Knotts is 547 S Fitness Pl, Eagle, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name Kraig Kurtis Knotts
Address 547 S Fitness Pl, Eagle, Idaho
Phone Number 2089393986
Fax Number 2089397186
Sole Proprietor X
Credentials D.C.

NPI Number Detail

NPI Number 1205883170
Provider Enumeration Date 2006-05-27
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 547 S Fitness Pl
City Eagle
State Idaho (ID)
Post Code 836166552
Phone Number 2089393986
Fax Number 2089397186

Provider's Primary Taxonomy Detail

Speciality Sports Physician
Taxonomy 111Ns0005X
Licence No CHIA-1073
Definition:
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP)

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
C-4272 ID BLUE CROSS OF IDAHO

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FAQs about Kraig Kurtis Knotts

What is the unique identifier code issued to Kraig Kurtis Knotts by the Centers for Medicare & Medicaid Services (CMS)?

The Kraig Kurtis Knotts has been assigned the NPI (National Provider Identifier) 1205883170. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where Kraig Kurtis Knotts's facilities are situated?

The facilities of Kraig Kurtis Knotts are physically located at the following address: 547 S Fitness Pl, Eagle, ID, 836166552.

What is Kraig Kurtis Knotts's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Kraig Kurtis Knotts is Sports Physician, and the corresponding taxonomy classification code for this specialized field is 111Ns0005X.

On what date did the Kraig Kurtis Knotts receive the assignment of its 1205883170 from the Centers for Medicare & Medicaid Services?

The Kraig Kurtis Knotts was issued its 1205883170 by the Centers for Medicare & Medicaid Services on 2006-05-27.

When was the information regarding Kraig Kurtis Knotts, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Kraig Kurtis Knotts, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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