Provider Demographics
NPI:1609146729
Name:KNIGHT, AMY E (DC, LMP)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:E
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:DC, LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7199
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98417-0199
Mailing Address - Country:US
Mailing Address - Phone:253-678-7923
Mailing Address - Fax:253-630-1614
Practice Address - Street 1:315 NE 192ND AVE STE 304
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98684-7505
Practice Address - Country:US
Practice Address - Phone:360-718-8510
Practice Address - Fax:360-718-8254
Is Sole Proprietor?:No
Enumeration Date:2012-01-05
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH61392668111N00000X
WAMA00018262225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist