Individual provider · Type 1 NPI
Jazmin Montgomery
Developmental Therapist · South Holland, IL
Practice location
16660 Paxton Ave
South Holland, IL 60473-2633
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | None listed |
Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…
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About NPI 1104785567
Jazmin Montgomery's National Provider Identifier is 1104785567, issued on Jan 20, 2026. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in South Holland, IL. The record was last updated on Jan 20, 2026.