Individual
STACY KOENIGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
710 E 1ST ST, ANKENY, IA 50021-2007
(515) 965-5311
(515) 065-5301
Mailing address
710 E 1ST ST, ANKENY, IA 50021-2007
(515) 965-5311
(515) 065-5301
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
078159
IA
Other
Enumeration date
02/16/2007
Last updated
10/06/2015
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