Individual
JESSICA L MONTOYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6538 ALLENDALE BLVD, TERRE HAUTE, IN 47802-4794
(219) 577-6759
Mailing address
6538 ALLENDALE BLVD, TERRE HAUTE, IN 47802-4794
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/13/2017
Last updated
06/13/2017
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