MICHAEL WAYNE MONTGOMERY

BARDSTOWN, KY
NPI1689643116
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN  36000895A)
Enumeration Date2006-03-16
Last Update Date2014-09-30
Business Address
-- MICHAEL WAYNE MONTGOMERY MA, ATC, LAT, LMT
102 CRYSTAL SPRINGS DR
BARDSTOWN, KY 40004-8203
Phone number: 502-460-4557
Mailing Address
-- MICHAEL WAYNE MONTGOMERY MA, ATC, LAT, LMT
102 CRYSTAL SPRINGS DR
BARDSTOWN, KY 40004-8203
Phone number: 502-460-4557
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