Provider Demographics
NPI:1497782288
Name:KNAPP, DAVID ASHLEY (CPO)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:ASHLEY
Last Name:KNAPP
Suffix:
Gender:M
Credentials:CPO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:131 MAIN STREET EXT # 1
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06457-3812
Mailing Address - Country:US
Mailing Address - Phone:860-740-2154
Mailing Address - Fax:860-421-4178
Practice Address - Street 1:131 MAIN STREET EXT # 1
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:CT
Practice Address - Zip Code:06457
Practice Address - Country:US
Practice Address - Phone:860-740-2154
Practice Address - Fax:860-421-4178
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2019-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist
No222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist