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

TaxonomyCodeLicense
Athletic Trainer 2255A2300X36000895A (IN)
Massage Therapist Primary 225700000X106160 (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.