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Individual

LUKAS TATE MONTGOMERY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMBT

Contact information

Practice address
7122 MARKET ST, WILMINGTON, NC 28411-9890
(910) 444-2885
Mailing address
2127 FOWLER ST # A, WILMINGTON, NC 28403-0237
(910) 465-3645
(910) 465-3645

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18775
NC

Other

Enumeration date
03/14/2025
Last updated
03/14/2025
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