Individual
JACOB CHARLES MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
3130 CENTRAL PARK W, TOLEDO, OH 43617-1094
(419) 841-9622
Mailing address
151 WOOD ST, BELLEVUE, OH 44811-1540
(567) 228-9952
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33.026965
OH
Other
Enumeration date
07/24/2024
Last updated
07/24/2024
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