Knotts, Susan Diane
Knotts, Susan Diane is an sole proprietor health care provider with primary practice located at 27025 Trask River Road , Tillamook OR 97141-0433. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Knotts, Susan Diane can be contacted via phone (503) 842-7305.Contact Information
Primary practice address
27025 Trask River Road
Tillamook OR 97141-0433
Phone: (503) 842-7305
Fax: (503) 842-0447
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1387 | Oregon |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | 1696 | Oregon |
Profile Details
| NPI number | 1750493813 |
|---|---|
| LBN Legal business name | Knotts, Susan Diane |
| Credentials | PT LMT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Sep 12th, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750493813 | NPPES |
| Oregon | Other | 838547001 | BCBS |
| Oregon | MEDICAID | 182803 | BCBS |
| Oregon | Other | 320438201 | BCBS |
| Oregon | Other | 838546001 | BCBS |
| Oregon | Other | 115OR00690 | BCBS |
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