Courtney Koontz, | |
960 S Charles G Seivers Blvd, Clinton, TN 37716-3882 | |
(865) 457-4005 | |
Not Available |
Full Name | Courtney Koontz |
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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 |
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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 |
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 | |
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 | |
Mrs. Robbin Servies, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1107 N Charles G Seivers Blvd, Suite 2, Clinton, TN 37716 Phone: 865-463-0808 Fax: 865-463-8908 | |
Scott A Farmer, DPT 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 | |
Colton Bradfield, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1202 N Charles G Seivers Blvd Ste A, Clinton, TN 37716 Phone: 865-457-0192 |