| Doctor Name: | BRENDA PEITZ KNAEBLE |
| NPI Number: | 1306893177 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.T., A.T.C. |
| License Number: | 4570 |
| Business Practice Address: | 2000 Abbott Northwestern Ct Suite 210 Sartell, MN - 563774202 |
| Business Phone Number: | 3205342250 |
| Business Fax Number: | |
| Mailing Address: | 425 Crescent St, BIG LAKE |
| State: | MN |
| Postal Code: | 553099493 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 05/27/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251S0007X |
| License Number: | 4570 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | MN |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Sports |
| Taxonomy Definition: | |