Individual
THOMAS KOONTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1996 EXETER RD, GERMANTOWN, TN 38138-3949
(901) 362-2800
(901) 624-9782
Mailing address
PO BOX 381408, GERMANTOWN, TN 38183-1408
(901) 362-2800
(901) 624-9782
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
DC0000001115
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3084009
BLUECROSS BLUESHIELD
TN
Enumeration date
04/06/2007
Last updated
07/08/2007
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