Louise Knetzger Gallagher, LAC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

9444443-1201 Issued in UT

Practice address

1107 Woodside Ave
Park City, UT 84060

Phone

(435) 901-4212

NPI assigned

Jun 4, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Louise W. Knetzger Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1528070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528070400000",
    "number": "1063904266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 683000",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840683000",
            "telephone_number": "435-901-4212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 WOODSIDE AVE",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "84060",
            "telephone_number": "435-901-4212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "LOUISE",
        "middle_name": "KNETZGER",
        "credential": "LAC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-04",
        "last_updated": "2018-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "UT",
            "license": "9444443-1201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LOUISE",
            "last_name": "KNETZGER",
            "middle_name": "W.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gale and Associates Center for Assessment and Psychotherapy
• Corey Maxwell Gale, PSY.D.
• Jennifer Gale, PSY.D.
• Gallagher Pediatrics
• Eileen Gallagher, MD
• Brianna Gallery
• Keri Gardner, MD MPH
• Paul John Gardner, MFT
• Patrick Gentempo Jr.
• Michael George, DDS

• Acupuncturist in Park City, UT
• Providers in Park City, UT by specialty
• Acupuncturist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.