Doctor Name: | LANDON TOLBERT MONTGOMERY |
NPI Number: | 1053389312 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 1156989 |
Business Practice Address: | 3001 Highway 121 Unit 292 Euless, TX - 76039 |
Business Phone Number: | 8176840397 |
Business Fax Number: | 8176840397 |
Mailing Address: | 3001 Highway 121, Unit 292 EULESS |
State: | TX |
Postal Code: | 76039 |
Phone Number: | 8176840397 |
Fax Number: | 8176840397 |
NPI Enumeration Date: | 03/10/2006 |
NPI Last Update Date: | 12/11/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1156989 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |