Individual provider · Type 1 NPI
Michael Wayne Montgomery, MA, ATC, LAT, LMT
Massage Therapist · Bardstown, KY
NPI number
1689643116
Active
Practice location
102 Crystal Springs Dr
Bardstown, KY 40004-8203
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | 36000895A (IN) |
| Massage Therapist Primary | 225700000X | 106160 (KY) |
Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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About NPI 1689643116
Michael Wayne Montgomery, MA, ATC, LAT, LMT's National Provider Identifier is 1689643116, issued on Mar 16, 2006. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Bardstown, KY. The record was last updated on Dec 30, 2024.