Provider Demographics
NPI:1477526770
Name:KNEPPER, ROB D (MS, ATC, LAT, PES, C)
Entity Type:Individual
Prefix:MR
First Name:ROB
Middle Name:D
Last Name:KNEPPER
Suffix:
Gender:M
Credentials:MS, ATC, LAT, PES, C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3507 DEERBROOK DR
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-2632
Mailing Address - Country:US
Mailing Address - Phone:832-795-6278
Mailing Address - Fax:
Practice Address - Street 1:3507 DEERBROOK DR
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-2632
Practice Address - Country:US
Practice Address - Phone:832-795-6278
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-08
Last Update Date:2013-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAT49922255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer