Most Relevant Information
Provider Data
| NPI Number: | 1003644659 |
| Provider Name: | JACOB CHARLES MONTGOMERY LMT |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | 33.026965 |
Most Important Dates
| Enumeration Date: | 07/24/2024 |
| Last Updated: | 07/24/2024 |
Provider Practice Location
3130 CENTRAL PARK W
TOLEDO
OH
436171094
Practice Location Phone/Fax
| Phone: | 4198419622 |
| Fax: |
Provider Mailing Location
151 WOOD ST
BELLEVUE
OH
448111540
Provider Mailing Phone/Fax
| Phone: | 5672289952 |
| Fax: |