Provider Demographics
NPI:1841253093
Name:KNOTTS, JOSH BRADEN (DC)
Entity type:Individual
Prefix:DR
First Name:JOSH
Middle Name:BRADEN
Last Name:KNOTTS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9521 RIVERSIDE PKWY
Mailing Address - Street 2:B - #372
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74137
Mailing Address - Country:US
Mailing Address - Phone:918-884-7696
Mailing Address - Fax:866-397-3478
Practice Address - Street 1:9521 RIVERSIDE PKWY B #372
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74137
Practice Address - Country:US
Practice Address - Phone:615-807-0467
Practice Address - Fax:866-397-3478
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-10
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1962111N00000X
OK4252111N00000X
FLCH14195111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractor