Provider Demographics
NPI:1609670801
Name:KNAPP, GRACE LYNN
Entity type:Individual
Prefix:
First Name:GRACE
Middle Name:LYNN
Last Name:KNAPP
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 N MICHIGAN AVE
Mailing Address - Street 2:
Mailing Address - City:BIG RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49307-1457
Mailing Address - Country:US
Mailing Address - Phone:231-796-4143
Mailing Address - Fax:231-796-4145
Practice Address - Street 1:120 N MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:BIG RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49307-1457
Practice Address - Country:US
Practice Address - Phone:231-796-4143
Practice Address - Fax:231-796-4145
Is Sole Proprietor?:No
Enumeration Date:2025-04-04
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI3502013318237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist