Provider Demographics
NPI:1912335522
Name:KNIGHT, ROBYNNE (LAC, EAMP)
Entity Type:Individual
Prefix:
First Name:ROBYNNE
Middle Name:
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:LAC, EAMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 S 348TH ST
Mailing Address - Street 2:SUITE 3
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-7041
Mailing Address - Country:US
Mailing Address - Phone:206-707-2031
Mailing Address - Fax:
Practice Address - Street 1:204 S 348TH ST
Practice Address - Street 2:SUITE 3
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-7041
Practice Address - Country:US
Practice Address - Phone:206-707-2031
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-16
Last Update Date:2013-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC 60262889171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist