Individual
LUKE MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACT, LAT
Contact information
Practice address
1333 W WASHINGTON ST, BOX T 0800, STEPHENVILLE, TX 76401-4168
(254) 968-9823
Mailing address
1333 W WASHINGTON ST, BOX T 0800, STEPHENVILLE, TX 76401
(254) 968-9823
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT4226
TX
Other
Enumeration date
11/10/2016
Last updated
11/10/2016
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