Most Relevant Information
Provider Data
| NPI Number: | 1003225913 |
| Provider Name: | BRETT MONTGOMERY P.T.A. |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | A03218 |
Most Important Dates
| Enumeration Date: | 08/05/2014 |
| Last Updated: | 08/05/2014 |
Provider Practice Location
303 N HURSTBOURNE PKWY
SUITE 200
LOUISVILLE
KY
402225185
Practice Location Phone/Fax
| Phone: | 5024125847 |
| Fax: |
Provider Mailing Location
668 GINA DR
SHELBYVILLE
KY
400658807
Provider Mailing Phone/Fax
| Phone: | 5022325606 |
| Fax: |