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NPI Code Detail

MEDICARE: MYLES MONTON

MEDICARE: MYLES MONTON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1700716321
Entity Type Code : Individual
Provider Name (Legal Business Name) : MYLES MONTON
Provider Business Mailing Address
First Line : 10134 CLAIRINA WAY
Second Line :
City : ELK GROVE
State : CA
Zip : 95757-5997
Country : US
Telephone Number : 916-716-5332
Fax Number :
Provider Business Practice Location Address
First Line : 10471 GRANT LINE RD STE 130
Second Line :
City : ELK GROVE
State : CA
Zip : 95624-5042
Country : US
Telephone Number : 916-750-4555
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2026
Last Update Date : 05/23/2026

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Directions to “ MYLES MONTON ” Practice Location

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