DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: AUGUST DESHAE MONTGOMERY

MEDICARE: AUGUST DESHAE MONTGOMERY
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
12255A2300XAthletic Trainer

General Provider Information

NPI Number : 1154886414
Entity Type Code : Individual
Provider Name (Legal Business Name) : AUGUST DESHAE MONTGOMERY
Provider Business Mailing Address
First Line : 1 CUMBERLAND SQ # 3046
Second Line :
City : LEBANON
State : TN
Zip : 37087-3408
Country : US
Telephone Number : 931-302-5984
Fax Number :
Provider Business Practice Location Address
First Line : 1 CUMBERLAND SQ # 3046
Second Line :
City : LEBANON
State : TN
Zip : 37087-3408
Country : US
Telephone Number : 931-302-5984
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2019
Last Update Date : 01/31/2019

Similar Medicare Providers

1942632021 — MISS KATIE LANE ARNOLD MAE, ATC, LAT
Practice Location Address:
1 CUMBERLAND SQ
LEBANON, TN
37087-3408
Practice Phone: 615-547-1334
Practice Fax: 615-547-1309
1013467620 — KATHERINE MEGAN BYNUM ATC
Practice Location Address:
1 CUMBERLAND SQ
LEBANON, TN
37087-3408
Practice Phone: 615-547-1306
Practice Fax:
1477098374 — MR. JOSEPH THOMAS ROLLINS
Practice Location Address:
1 CUMBERLAND SQ
LEBANON, TN
37087-3408
Practice Phone: 865-617-3252
Practice Fax:
1700310752 — MRS. KELLI POLIZZI LAT, ATC
Practice Location Address:
1 CUMBERLAND SQ
LEBANON, TN
37087-3408
Practice Phone: 615-547-1229
Practice Fax:
1063986917 — TYLER KARL BENNETT MAE, LAT, ATC
Practice Location Address:
1 CUMBERLAND SQ
LEBANON, TN
37087-3408
Practice Phone: 615-547-1232
Practice Fax:
1194299040 — VICTORIA STUPECKI LAT, ATC
Practice Location Address:
1 CUMBERLAND SQ
LEBANON, TN
37087-3408
Practice Phone: 615-547-1232
Practice Fax:
1124592100 — MEGAN ELIZABETH MOORE
Practice Location Address:
1 CUMBERLAND SQ
LEBANON, TN
37087-3408
Practice Phone: 615-257-9507
Practice Fax:

Directions to “ AUGUST DESHAE MONTGOMERY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.