Individual
KELLEY HELEN KOONTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
6325 JACKRABBIT LN STE A, BELGRADE, MT 59714
(406) 388-4988
(406) 388-6188
Mailing address
6325 JACKRABBIT LN STE A, BELGRADE, MT 59714-9128
(406) 388-4988
(406) 388-6188
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14952
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225528342
—
MT
Enumeration date
05/14/2018
Last updated
05/27/2019
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