Individual
NICOLE MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
829 SW LEMANS LN, LEES SUMMIT, MO 64082-4618
(816) 352-9461
Mailing address
902 SW FOXTAIL DR, GRAIN VALLEY, MO 64029-9111
(417) 926-2538
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
2021006184
MO
Other
Enumeration date
02/26/2021
Last updated
12/21/2023
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