Individual provider · Type 1 NPI

Averie Montgomery-Diener, PTA, LMT

Physical Therapy Assistant · Santa Fe, NM

NPI number 1033623780 Active

Practice location

2538 Camino Entrad Suite 300
Santa Fe, NM 87507

Call (505) 424-1239 Map

Mailing address

2538 Camino Entrada Ste 300
Santa Fe, NM 87507-4927

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist 225700000X4837 (NM)
Physical Therapy Assistant Primary 225200000XA-1328 (NM)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1033623780

Averie Montgomery-Diener, PTA, LMT's National Provider Identifier is 1033623780, issued on Nov 16, 2017. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Santa Fe, NM. The record was last updated on Apr 23, 2018.