Individual
JESSICA MARIE KOONTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
5770 S 250 E STE G50, MURRAY, UT 84107-6165
(801) 314-5000
Mailing address
2103 E 1700 S, SALT LAKE CITY, UT 84108-2716
(240) 577-8031
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12841436-2401
UT
Other
Enumeration date
09/30/2022
Last updated
02/06/2024
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