Individual
JEREMY KOONTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1010 MONARCH ST STE 150, LEXINGTON, KY 40513-1892
(859) 219-0211
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7217
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
008587
KY
Other
Enumeration date
06/24/2022
Last updated
06/25/2025
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