Individual
KATIE MARIE MONTALBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., LAT, ATC
Contact information
Practice address
104 N LAMAR ST, LITTLE RIVER ACADEMY, TX 76554-2846
(254) 721-1394
Mailing address
104 N LAMAR ST, LITTLE RIVER ACADEMY, TX 76554-2846
(254) 721-1394
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
24-01597
KS
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/25/2018
Last updated
03/28/2022
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