Individual
JEREMY KOONTZ
Active
Individual
JEREMY KOONTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
008587
KY
225100000X
Physical Therapist
17314
TN
Other
Enumeration date
06/24/2022
Last updated
06/02/2026
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