Provider Demographics
NPI:1457050494
Name:KNECHT, SANDRA KAE (MS, ACSM CEP)
Entity Type:Individual
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First Name:SANDRA
Middle Name:KAE
Last Name:KNECHT
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Gender:F
Credentials:MS, ACSM CEP
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Other - Middle Name:
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Mailing Address - Street 1:8245 E COUNTY ROAD 200 N
Mailing Address - Street 2:
Mailing Address - City:MOORES HILL
Mailing Address - State:IN
Mailing Address - Zip Code:47032-9466
Mailing Address - Country:US
Mailing Address - Phone:812-584-2243
Mailing Address - Fax:
Practice Address - Street 1:3333 BURNET AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45229-3026
Practice Address - Country:US
Practice Address - Phone:513-636-7276
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-28
Last Update Date:2023-02-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH224Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Y00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersClinical Exercise Physiologist