Individual
BRETT MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.A.
Contact information
Practice address
303 N HURSTBOURNE PKWY, SUITE 200, LOUISVILLE, KY 40222-5185
(502) 412-5847
Mailing address
668 GINA DR, SHELBYVILLE, KY 40065-8807
(502) 232-5606
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A03218
KY
Other
Enumeration date
08/05/2014
Last updated
08/05/2014
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