MISS Kaci Mari Montgomery, ATC

NPI #1285017061 in Fruitland Park, Florida

Provider Information

NPI Number
1285017061
Entity Type
Individual
Name
MISS Kaci Mari Montgomery, ATC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATC
Enumeration Date
Jun 30, 2015
Last Updated
Jun 30, 2015

Practice Location

Address
1208 PINE RIDGE DAIRY RD
State
Florida
ZIP Code
34731-3412
Phone
(352) 223-6903

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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