Provider Demographics
NPI:1013141878
Name:KNAPP, GEORGE EDWIN (LMP)
Entity Type:Individual
Prefix:
First Name:GEORGE
Middle Name:EDWIN
Last Name:KNAPP
Suffix:
Gender:M
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2808
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99220-2800
Mailing Address - Country:US
Mailing Address - Phone:509-688-6700
Mailing Address - Fax:509-688-6791
Practice Address - Street 1:3010 S SOUTHEAST BLVD STE A
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99223
Practice Address - Country:US
Practice Address - Phone:509-688-6700
Practice Address - Fax:509-533-1838
Is Sole Proprietor?:No
Enumeration Date:2009-05-08
Last Update Date:2018-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00014854225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1154414761OtherCOLUMBIA MEDICAL ASSOCIATES GROUP NPI NUMBER