Provider Demographics
NPI:1386920809
Name:KNIGHT, LAURA ASHLEY (DPT)
Entity type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:ASHLEY
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MISS
Other - First Name:LAURA
Other - Middle Name:ASHLEY
Other - Last Name:WENZEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:608 NORRIS AVE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37204-3708
Mailing Address - Country:US
Mailing Address - Phone:615-695-1432
Mailing Address - Fax:615-695-1483
Practice Address - Street 1:4230 HARDING PIKE
Practice Address - Street 2:SUITE 1000
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-2013
Practice Address - Country:US
Practice Address - Phone:615-338-3269
Practice Address - Fax:615-297-1449
Is Sole Proprietor?:No
Enumeration Date:2011-10-28
Last Update Date:2014-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN9737225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist