1114753191 NPI number — SONDER WELLNESS CORPORATION

Table of content: KYLE JOSEPH KNIGGE DPT (NPI 1013531425)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1114753191 NPI number — SONDER WELLNESS CORPORATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SONDER WELLNESS CORPORATION
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1114753191
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/09/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
890 SIMPSON HOWELL RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ELIZABETH
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15037-2824
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
412-370-2665
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
750 WASHINGTON RD STE 19
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MT LEBANON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15228-2052
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-370-2665
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/09/2024

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
SANDERSON
Authorized Official First Name:
CASSANDRA
Authorized Official Middle Name:
Authorized Official Title or Position:
LICENSED PROFESSIONAL COUNSELOR
Authorized Official Telephone Number:
412-370-2665

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)