Individual
TRAVIS J MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
17300 WESTFIELD BLVD STE 110, WESTFIELD, IN 46074-1436
(317) 567-1228
Mailing address
17300 WESTFIELD BLVD STE 110, WESTFIELD, IN 46074-1436
(317) 567-1228
(463) 273-1890
Taxonomy
Speciality
Code
Description
License number
State
213ES0000X
Sports Medicine Podiatrist
07001006
IN
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
07001006A
IN
213ES0131X
Foot Surgery Podiatrist
07001006
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200525150
—
IN
05
—
300102111
—
IN
05
—
300112767
—
IN
05
—
300113980
—
IN
Enumeration date
08/12/2005
Last updated
03/19/2026
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