Provider Demographics
NPI:1366479974
Name:KNIGHT, ALTON RAY II (MS, ATC)
Entity Type:Individual
Prefix:MR
First Name:ALTON
Middle Name:RAY
Last Name:KNIGHT
Suffix:II
Gender:M
Credentials:MS, ATC
Other - Prefix:
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Mailing Address - Street 1:205 JACKSON ST
Mailing Address - Street 2:
Mailing Address - City:COWAN
Mailing Address - State:TN
Mailing Address - Zip Code:37318-3366
Mailing Address - Country:US
Mailing Address - Phone:931-598-1293
Mailing Address - Fax:931-598-1673
Practice Address - Street 1:735 UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:SEWANEE
Practice Address - State:TN
Practice Address - Zip Code:37383-2000
Practice Address - Country:US
Practice Address - Phone:931-598-1293
Practice Address - Fax:931-598-1673
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer