Provider Demographics
NPI:1912148032
Name:KNECHT, JEAN CATHERINE (MS, ATC)
Entity Type:Individual
Prefix:
First Name:JEAN
Middle Name:CATHERINE
Last Name:KNECHT
Suffix:
Gender:F
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 1:1021 DULANEY VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21204-2753
Mailing Address - Country:US
Mailing Address - Phone:410-337-6286
Mailing Address - Fax:410-337-6576
Practice Address - Street 1:1021 DULANEY VALLEY RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21204-2753
Practice Address - Country:US
Practice Address - Phone:410-337-6286
Practice Address - Fax:410-337-6576
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-19
Last Update Date:2009-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer