Provider Demographics
NPI:1255749784
Name:MCKNIGHT, THOMAS (MS, ATC)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:
Last Name:MCKNIGHT
Suffix:
Gender:M
Credentials:MS, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 FLORIDA AVE NE
Mailing Address - Street 2:GALLAUDET UNIVERSITY - DEPARTMENT OF ATHLETICS
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-3600
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:800 FLORIDA AVE NE
Practice Address - Street 2:GALLAUDET UNIVERSITY - DEPARTMENT OF ATHLETICS
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-3600
Practice Address - Country:US
Practice Address - Phone:978-590-8961
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-28
Last Update Date:2016-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer