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Individual

MEGAN ELIZABETH KOONTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC, CSCS

Contact information

Practice address
99 SQUIRES GROVE DR E, ATOKA, TN 38004-2705
(731) 442-0749
Mailing address
99 SQUIRES GROVE DR E, ATOKA, TN 38004-2705

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1406
TN

Other

Enumeration date
08/04/2021
Last updated
08/04/2021
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