Provider Demographics
NPI:1427113307
Name:KNUTSON, MARGARET M (ATC)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:M
Last Name:KNUTSON
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:608 HOOPER CT
Mailing Address - Street 2:
Mailing Address - City:JORDAN
Mailing Address - State:MN
Mailing Address - Zip Code:55352-1070
Mailing Address - Country:US
Mailing Address - Phone:952-492-6544
Mailing Address - Fax:
Practice Address - Street 1:608 HOOPER CT
Practice Address - Street 2:
Practice Address - City:JORDAN
Practice Address - State:MN
Practice Address - Zip Code:55352-1070
Practice Address - Country:US
Practice Address - Phone:952-492-6544
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN10382255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer