Provider Demographics
NPI:1992798458
Name:KNOX, LEE HUNT (ATC; LAT)
Entity type:Individual
Prefix:MR
First Name:LEE
Middle Name:HUNT
Last Name:KNOX
Suffix:
Gender:M
Credentials:ATC; LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:650 DEFORREST ST
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78404-2737
Mailing Address - Country:US
Mailing Address - Phone:361-857-8634
Mailing Address - Fax:
Practice Address - Street 1:6613 RANGER AVE
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78415-5924
Practice Address - Country:US
Practice Address - Phone:361-878-2334
Practice Address - Fax:361-878-4888
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAT07132255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer