Individual
MS. JESSICA MEGHAN MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
30 N 1900 E, SALT LAKE CITY, UT 84132-0002
(801) 581-2574
(801) 585-3498
Mailing address
1043 E 300 S, SALT LAKE CITY, UT 84102-2523
(512) 796-1812
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10856845-2401
UT
2251H1300X
Human Factors Physical Therapist
10856845-2401
UT
Other
Enumeration date
07/10/2019
Last updated
11/30/2021
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