Jeremy Wade Knedel, P.T.

NPI #1538405881 in Shasta Lake, California

Provider Information

NPI Number: 1538405881
Entity Type: Individual
Name: Jeremy Wade Knedel, P.T.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: P.T.
Enumeration Date: Dec 13, 2012
Last Updated: Dec 13, 2012

Practice Location

Address: 5061 SHASTA DAM BLVD
City: Shasta Lake
State: California
ZIP Code: 96019-9405
Phone: (530) 275-0777

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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