Provider Demographics
NPI:1942649959
Name:KNIGHT, DARRYL SR (MS)
Entity Type:Individual
Prefix:MR
First Name:DARRYL
Middle Name:
Last Name:KNIGHT
Suffix:SR
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4249 STILMORE RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44121-3131
Mailing Address - Country:US
Mailing Address - Phone:216-832-3403
Mailing Address - Fax:
Practice Address - Street 1:346 EUCLID SQUARE MALL
Practice Address - Street 2:
Practice Address - City:EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44132-2808
Practice Address - Country:US
Practice Address - Phone:216-282-4008
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-24
Last Update Date:2013-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Y00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersClinical Exercise Physiologist