Individual
KAYLA MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
223 N MAIN ST, EUFAULA, OK 74432-1632
(918) 533-9000
Mailing address
411700 E 1210 RD, EUFAULA, OK 74432-5676
(918) 617-7273
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1076241067316
OK
Other
Enumeration date
04/16/2024
Last updated
04/16/2024
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