Male or Other

Kent C. Knisley P.T., A.T.C

Physical Therapist in Tallahassee, FL(View on Map)

Full Name

Kent C Knisley P.T., A.T.C

NPI Number

1922137934

NPI Type

Individual Provider

Gender

Male

Enumeration Date

03/05/2007

Specialties

(Taxonomies)

Code

225100000X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

PT4183

Contact
Information

Purpose

Mailing
Location

Address

3334 CAPITAL MEDICAL BLVD STE 400
3334 CAPITAL MEDICAL BLVD STE 300

City

Tallahassee
Tallahassee

State

FL
FL

Postal Code

32308-4470
32308-4470

Country

US
US

Telephone Number

(850) 877-8174
(850) 877-8174

Identifiers

Identifier

881439200

Identifier State

FL

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/24/2021

Provider Address

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