Provider Demographics
NPI:1215232087
Name:KNIGHT, CASSANDRA LEE (EAMP)
Entity Type:Individual
Prefix:MS
First Name:CASSANDRA
Middle Name:LEE
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:EAMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1405 FRASER ST STE 101
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98229-5886
Mailing Address - Country:US
Mailing Address - Phone:360-738-3600
Mailing Address - Fax:
Practice Address - Street 1:1405 FRASER ST STE 101
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98229-5886
Practice Address - Country:US
Practice Address - Phone:360-738-3600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-25
Last Update Date:2020-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC 60130072171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist