| Doctor Name: | DARRELL SCOTT KNICK |
| NPI Number: | 1578712931 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.T. |
| License Number: | 5501002396 |
| Business Practice Address: | 5811 Middlebelt Rd Garden City, MI - 481352459 |
| Business Phone Number: | 7345137755 |
| Business Fax Number: | 7345132747 |
| Mailing Address: | 900 Auburn Ave, PONTIAC |
| State: | MI |
| Postal Code: | 483423300 |
| Phone Number: | 2483333335 |
| Fax Number: | 2483330276 |
| NPI Enumeration Date: | 09/10/2008 |
| NPI Last Update Date: | 09/10/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 5501002396 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |