Healthcare Provider Details

I. General information

NPI: 1417860404
Provider Name (Legal Business Name): MAYMONT SCHOOL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

255 WINTON M BLOUNT LOOP
MONTGOMERY AL
36117-3507
US

IV. Provider business mailing address

255 WINTON M BLOUNT LOOP
MONTGOMERY AL
36117-3507
US

V. Phone/Fax

Practice location:
  • Phone: 334-220-6492
  • Fax: 334-398-8009
Mailing address:
  • Phone: 334-220-6492
  • Fax: 334-398-8009

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: KRISTI HENDRICKS DUNCAN
Title or Position: CERTIFIED LYMPHEDEMA THERAPIST
Credential: CLT, LMT
Phone: 334-220-6492