Provider Demographics
NPI:1386940997
Name:KNIGH, BRIAN MARTIN (PHYSICLA THERAPIST)
Entity type:Individual
Prefix:
First Name:BRIAN
Middle Name:MARTIN
Last Name:KNIGH
Suffix:
Gender:M
Credentials:PHYSICLA THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 E POINT CT
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70128-3639
Mailing Address - Country:US
Mailing Address - Phone:504-717-8942
Mailing Address - Fax:504-910-3047
Practice Address - Street 1:130 E POINT CT
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70128-3639
Practice Address - Country:US
Practice Address - Phone:504-717-8942
Practice Address - Fax:504-910-3047
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-28
Last Update Date:2011-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA00755174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist