Provider Demographics
NPI:1770870768
Name:KNOX, MEGAN NICOLE (DC)
Entity type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:NICOLE
Last Name:KNOX
Suffix:
Gender:
Credentials:DC
Other - Prefix:MS
Other - First Name:MEGAN
Other - Middle Name:NICOLE
Other - Last Name:PARSONS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 672
Mailing Address - Street 2:
Mailing Address - City:PINEVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:64856-0672
Mailing Address - Country:US
Mailing Address - Phone:479-855-7374
Mailing Address - Fax:417-223-4405
Practice Address - Street 1:103 E 4TH ST
Practice Address - Street 2:
Practice Address - City:PINEVILLE
Practice Address - State:MO
Practice Address - Zip Code:64856-8204
Practice Address - Country:US
Practice Address - Phone:479-855-7374
Practice Address - Fax:417-226-4405
Is Sole Proprietor?:No
Enumeration Date:2011-06-29
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2011019742111NR0400X, 111NX0100X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NR0400XChiropractic ProvidersChiropractorRehabilitation
No111NX0100XChiropractic ProvidersChiropractorOccupational Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO018220001OtherMEDICARE PTAN