| Courtney Koontz, | |
|
960 S Charles G Seivers Blvd, Clinton, TN 37716-3882 | |
| (865) 457-4005 | |
| Not Available |
| Full Name | Courtney Koontz |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 960 S Charles G Seivers Blvd, Clinton, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891511952 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 15783 (Tennessee) | Primary |
| Provider Name | Healthpro Heritage Rehab & Fitness Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1376073262 PECOS PAC ID: 6507832573 Enrollment ID: O20171003005084 |
| Mailing Address | Practice Location Address |
|---|---|
| Courtney Koontz, 8027 Pelleaux Rd, Knoxville, TN 37938-3500 Ph: (865) 441-0201 | Courtney Koontz, 960 S Charles G Seivers Blvd, Clinton, TN 37716-3882 Ph: (865) 457-4005 |
Scott Edwards, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1921 N Charles G Seivers Blvd, Clinton, TN 37716 Phone: 865-457-1649 Fax: 865-463-7825 | |
Nathan Gibson, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1921 N Charles G Seivers Blvd, Clinton, TN 37716 Phone: 865-457-1649 Fax: 865-463-7825 | |
Ashton Grimm, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1921 N Charles G Seivers Blvd, Clinton, TN 37716 Phone: 865-457-1649 | |
Mrs. Teresa B Johnston, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 450 Jefferson Ln, Clinton, TN 37716 Phone: 865-776-3247 | |
Taylor Layne Gilliam, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1921 N Charles G Seivers Blvd, Clinton, TN 37716 Phone: 865-457-1649 | |
Beverly U Baumgardner, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1921 N Charles G Seivers Blvd, Clinton, TN 37716 Phone: 865-457-1649 Fax: 865-463-7825 | |
Dr. Brian Scott Hoppestad, EDD, MS, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 562 Mariner Point Drive, Clinton, TN 37716 Phone: 865-457-6465 Fax: 865-381-1205 |