Provider Demographics
NPI:1629730874
Name:MCKNIGHT, KRISTEN HAGER (DPT)
Entity Type:Individual
Prefix:DR
First Name:KRISTEN
Middle Name:HAGER
Last Name:MCKNIGHT
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:519 JENNIFER LN
Mailing Address - Street 2:
Mailing Address - City:GIBSONIA
Mailing Address - State:PA
Mailing Address - Zip Code:15044-8036
Mailing Address - Country:US
Mailing Address - Phone:412-592-8812
Mailing Address - Fax:
Practice Address - Street 1:557 1/2 RODI RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15235-4523
Practice Address - Country:US
Practice Address - Phone:412-592-8812
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-05
Last Update Date:2021-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT029837225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist