Individual
MR. JASON K KOENIGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
1931 MARINETTE AVE, MARINETTE, WI 54143-3801
(715) 735-5500
Mailing address
2105 E ENTERPRISE AVE STE 113, APPLETON, WI 54913-7862
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
999624
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40388800
—
WI
Enumeration date
10/19/2006
Last updated
07/11/2025
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