Provider Demographics
NPI:1104321637
Name:KNIGHT, COURTNEY GAYLE (DC)
Entity type:Individual
Prefix:DR
First Name:COURTNEY
Middle Name:GAYLE
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41930 N VENTURE DR STE 110
Mailing Address - Street 2:
Mailing Address - City:ANTHEM
Mailing Address - State:AZ
Mailing Address - Zip Code:85086-3858
Mailing Address - Country:US
Mailing Address - Phone:623-551-6677
Mailing Address - Fax:
Practice Address - Street 1:41930 N VENTURE DR STE 110
Practice Address - Street 2:
Practice Address - City:ANTHEM
Practice Address - State:AZ
Practice Address - Zip Code:85086-3858
Practice Address - Country:US
Practice Address - Phone:623-551-6677
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-27
Last Update Date:2018-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ8707111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor