Provider Demographics
NPI:1942397542
Name:KNIES, DONALD ADAM (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:ADAM
Last Name:KNIES
Suffix:
Gender:M
Credentials:PHYSICAL THERAPIST
Other - Prefix:
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Mailing Address - Street 1:256 FORT SANDERS WEST BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37922-3355
Mailing Address - Country:US
Mailing Address - Phone:865-769-4545
Mailing Address - Fax:865-769-4501
Practice Address - Street 1:7557 DANNAHER WAY
Practice Address - Street 2:SUITE G30
Practice Address - City:POWELL
Practice Address - State:TN
Practice Address - Zip Code:37849-3558
Practice Address - Country:US
Practice Address - Phone:865-512-1140
Practice Address - Fax:865-512-1141
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2014-09-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TNPT7548225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3647370Medicaid
TNP01318052OtherRAILROAD MEDICARE
TN4134387OtherBLUECROSS BLUESHIELD
TN3654190Medicaid
TN4355885OtherBLUECROSS BLUESHIELD
TN3654190Medicaid
TN103I657135Medicare PIN