Individual
NIKKI SIMONE MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1405 AIR RAIL AVE, VIRGINIA BEACH, VA 23455-3001
(757) 839-8966
Mailing address
1405 AIR RAIL AVE, VIRGINIA BEACH, VA 23455-3001
(757) 839-8966
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
VA
Other
Enumeration date
09/23/2025
Last updated
09/23/2025
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