Michael Wayne Montgomery, MA, ATC, LAT, LMT

NPI #1689643116 in Bardstown, Kentucky

Provider Information

NPI Number: 1689643116
Entity Type: Individual
Name: Michael Wayne Montgomery, MA, ATC, LAT, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: MA, ATC, LAT, LMT
Enumeration Date: Mar 16, 2006
Last Updated: Dec 30, 2024

Practice Location

Address: 102 CRYSTAL SPRINGS DR
City: Bardstown
State: Kentucky
ZIP Code: 40004-8203
Phone: (502) 460-4557

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Massage Therapist	225700000X	Primary

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