Averie Montgomery-Diener, PTA, LMT
Physical Therapy Assistant in Santa Fe, NM. Individual provider (NPI-1).
NPI number1033623780
StatusActive
Last updated in NPPESApr 23, 2018
Details
- NPI
- 1033623780
- Entity type
- Individual (NPI-1)
- Name
- Averie Montgomery-Diener
- Credential
- PTA, LMT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 16, 2017
- Last updated
- Apr 23, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | A-1328 | NM | Yes |
| 225700000X | Massage Therapist | 4837 | NM |
Practice location
2538 Camino Entrad Suite 300Santa Fe, NM 87507
Phone 505-424-1239
Mailing address
2538 Camino Entrada Ste 300Santa Fe, NM 87507-4927
Phone 505-424-1239
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All 19 Physical Therapy Assistant providers in Santa Fe · All 5,869 providers in Santa Fe
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