Knicley SE, LLC
Knicley SE, LLC is an Orthopedic Physical Therapist in Frederick, Maryland. Licensed in Maryland. Registered with an NPI since 2017.
- Licensed in
- MD
- In the registry since
- 2017
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3540 Sugarloaf Pkwy Ste D03Frederick, MD 21704-7901
Phone: (301) 992-6797
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Orthopedic Physical Therapist (primary) | Taxonomy 2251X0800X · Licence 23476 (MD) |
|---|
Record details
| NPI number | 1619480258 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jason Knicley — Pt, Owner, Operator · (301) 992-6797 |
| Other names | Structural Elements |
| NPI enumerated | November 6, 2017 |
| Last updated in NPPES | July 12, 2021 |
| Certification date | July 12, 2021 |
| Mailing address | 10938 Louis Detrick Ln, Monrovia, MD 21770-6030 |
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