Provider Demographics
NPI:1871267914
Name:KNOPP, ANGELIKA ANNA (DC)
Entity Type:Individual
Prefix:
First Name:ANGELIKA
Middle Name:ANNA
Last Name:KNOPP
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1741 SEQUOIA DR
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89014-3571
Mailing Address - Country:US
Mailing Address - Phone:702-860-2018
Mailing Address - Fax:
Practice Address - Street 1:5506 S FORT APACHE RD STE 110
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89148-7673
Practice Address - Country:US
Practice Address - Phone:702-898-3311
Practice Address - Fax:702-898-3383
Is Sole Proprietor?:No
Enumeration Date:2021-08-03
Last Update Date:2021-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB01876111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor