Brandy Knepp, PTA
Individual provider Active NPI Physical Therapy Assistant · Huntingburg, IN
NPI 1154675486 · NPPES record last updated Nov 8, 2012
Key facts
- NPI
- 1154675486
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 06003559A (IN)
- Practice address
- 1712 N Leland Dr
Huntingburg, IN 47542-9348 - Phone
- (812) 683-4090
- NPI assigned
- Nov 8, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06003559A | IN | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 06003559A | IN | Yes |
Addresses
Primary practice location
1712 N Leland Dr
Huntingburg, IN 47542-9348
Mailing address
12910 E 75 N
Loogootee, IN 47553-5201
Phone (812) 486-5745
Other providers in Huntingburg, IN
- Marcia Katterhenry
- Kelly Family Dentistry, PC
- Christian H Kelly
- Joseph Michael Keusch
- Andrea Lynn Klauss
- Janelel Louise Knies
- Life Chiropractic Center, Inc.
- Casondra Grace Linne
- Jonathan S. Lowrey
- Frances Anne Macdonald
All providers in Huntingburg, IN · Physical Therapy Assistant in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 2012. 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.