Provider Demographics
NPI:1336240043
Name:MCKNIGHT, LENORE (LPT)
Entity Type:Individual
Prefix:
First Name:LENORE
Middle Name:
Last Name:MCKNIGHT
Suffix:
Gender:F
Credentials:LPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 W SPRING VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75081-4034
Mailing Address - Country:US
Mailing Address - Phone:972-238-1976
Mailing Address - Fax:972-238-0456
Practice Address - Street 1:208 W SPRING VALLEY RD
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75081-4034
Practice Address - Country:US
Practice Address - Phone:972-238-1976
Practice Address - Fax:972-238-0456
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1090850225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1090850OtherPT LICENSE