Mark Alan Knoblauch, MS ATC LAT CSCS

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT2198 Issued in TX

Practice address

8585 Woodway Dr Apt 328
Houston, TX 77063-2442

Phone

(832) 588-5601

NPI assigned

May 9, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477767408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8585 WOODWAY DR APT 328",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770632442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8585 WOODWAY DR APT 328",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770632442",
            "telephone_number": "832-588-5601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOBLAUCH",
        "first_name": "MARK",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "MS ATC LAT CSCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT2198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenifer Knighton, BS, LCDC, CART
• Jaylynn Sincere Knipfer
• Susan L. Knippel, RN, FNP
• Anne Knisely, MD
• Carolyn Kniss, M.A.
• Sue Ann Okerwall Knoblauch, RN
• Elizabeth Knoble, DPT
• Micah James Knobles, M.D.
• James Knodell, PA-C
• Madeline Margaret Knoll, RDN, LD

• Athletic Trainer in Houston, TX
• Providers in Houston, TX by specialty
• Athletic Trainer in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.