NPI 1104296581

Jack McKnight, PTDPT

Practitioner Physical Medicine & Rehabilitation Physician Bend, OR

Practice location

Address: 19712 Poplar St, Bend, OR 97702-9036
Phone: (951) 537-4424
Fax: (858) 279-5303

Registered specialties (2)

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 62235 (OR)

Other Physical Medicine & Rehabilitation providers in Oregon →

Physical Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence PT 43134 (CA)

Other Physical Therapist providers in Oregon →

Registry record

NPI: 1104296581
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Sep 2015
Record last updated: 27 Mar 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.