Individual
RYAN J MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
2700 GREENUP AVE, ASHLAND, KY 41101-1953
(606) 324-0540
(606) 324-0616
Mailing address
2700 GREENUP AVE, ASHLAND, KY 41101-1953
(606) 324-0540
(606) 324-0616
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
005341
KY
225100000X
Physical Therapist
Primary
PT 2701
WV
225100000X
Physical Therapist
PT012319
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810013985
—
WV
Enumeration date
06/30/2008
Last updated
04/15/2009
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