Provider Demographics
NPI:1891043584
Name:KNIGHT, JUDITH A (PT)
Entity Type:Individual
Prefix:
First Name:JUDITH
Middle Name:A
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:JUDITH
Other - Middle Name:A
Other - Last Name:GUENTHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6050 LONG PRAIRIE RD STE 600
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-5639
Mailing Address - Country:US
Mailing Address - Phone:972-539-5795
Mailing Address - Fax:972-539-5793
Practice Address - Street 1:6050 LONG PRAIRIE RD STE 600
Practice Address - Street 2:
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028-5639
Practice Address - Country:US
Practice Address - Phone:972-539-5795
Practice Address - Fax:972-539-5793
Is Sole Proprietor?:No
Enumeration Date:2012-08-28
Last Update Date:2012-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1215187225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist