Individual
JEFFREY MONTOYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
6767 W GREENFIELD AVE, WEST ALLIS, WI 53214-4967
(414) 793-4828
Mailing address
PO BOX 1944, MILWAUKEE, WI 53201-1944
(414) 793-4828
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10994-146
WI
Other
Enumeration date
03/22/2019
Last updated
01/03/2022
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