Individual
KELLY MONTAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS ,LAT, ATC
Contact information
Practice address
520 BILTMORE AVE, ASHEVILLE, NC 28801-4602
(828) 213-3729
Mailing address
1680 HENDERSONVILLE RD APT B07, ASHEVILLE, NC 28803-3221
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
LAT-3660
NC
Other
Enumeration date
10/02/2017
Last updated
10/02/2017
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