# MONTGOMERY CHIROPRACTIC CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Montgomery Chiropractic Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831155720
- **Authorized official:** DR. ANDRE LAMONT MONTGOMERY DC (PRESIDENT)
- **Authorized official phone:** (440) 930-5537

## Contact information

- **Practice address:** 684 AVON BELDEN RD, SUITE B, AVON LAKE, OH 44012-4110
- **Practice address phone:** (440) 930-5537
- **Practice address fax:** (440) 930-5237
- **Mailing address:** 684 AVON BELDEN RD, SUITE B, AVON LAKE, OH 44012-4110
- **Mailing address phone:** (440) 930-5537
- **Mailing address fax:** (440) 930-5237

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 3302 | OH | — |
| 111N00000X | Chiropractor | — | — | Yes |
| 225100000X | Physical Therapist | — | — | — |

## Other

- **Enumeration date:** 04/21/2006
- **Last updated:** 12/08/2020