Leah Michelle Knowles, MT
Individual provider Active NPI Contractor · Twisp, WA
NPI 1104042167 · NPPES record last updated Sep 16, 2024
Key facts
- NPI
- 1104042167
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- License
- MA00015169 (WA)
- Practice address
- 214 Glover St N
Twisp, WA 98856 - Phone
- (509) 449-6368
- NPI assigned
- Apr 18, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA00015169 | WA | MD | Contractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | MA00015169 | WA | Yes |
Addresses
Primary practice location
214 Glover St N
Twisp, WA 98856
Mailing address
PO Box 282
Twisp, WA 98856-0282
Phone (509) 449-6368
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0162426 | Other | WA | LABOR AND IND PIN |
Other providers in Twisp, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.