Individual
MADISON MICHELLE MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15822 LOWER LAKE DR, CYPRESS, TX 77433-4613
(713) 492-1274
Mailing address
15822 LOWER LAKE DR, CYPRESS, TX 77433-4613
(713) 492-1274
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/20/2024
Last updated
05/15/2024
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