Provider Demographics
NPI:1215668256
Name:KNIGHT, ELLA LEIGH (DPT, PT)
Entity type:Individual
Prefix:DR
First Name:ELLA
Middle Name:LEIGH
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:DPT, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10058 COOLEY RD
Mailing Address - Street 2:
Mailing Address - City:BROOKVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47012-9509
Mailing Address - Country:US
Mailing Address - Phone:765-647-0808
Mailing Address - Fax:765-647-0926
Practice Address - Street 1:10058 COOLEY RD
Practice Address - Street 2:
Practice Address - City:BROOKVILLE
Practice Address - State:IN
Practice Address - Zip Code:47012-9509
Practice Address - Country:US
Practice Address - Phone:765-647-0808
Practice Address - Fax:765-647-0926
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-21
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT019843225100000X
IN05015107A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist