Provider Demographics
NPI:1871802496
Name:KNAUFF, AMANDA (PT)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:
Last Name:KNAUFF
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16717 US HIGHWAY 17 STE 210
Mailing Address - Street 2:
Mailing Address - City:HAMPSTEAD
Mailing Address - State:NC
Mailing Address - Zip Code:28443-3239
Mailing Address - Country:US
Mailing Address - Phone:910-515-2030
Mailing Address - Fax:910-756-4503
Practice Address - Street 1:16717 US HIGHWAY 17 STE 210
Practice Address - Street 2:
Practice Address - City:HAMPSTEAD
Practice Address - State:NC
Practice Address - Zip Code:28443-3239
Practice Address - Country:US
Practice Address - Phone:910-515-2030
Practice Address - Fax:910-756-4503
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-30
Last Update Date:2024-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC12773225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist