Provider Demographics
NPI:1063645646
Name:MONTOYA, RICK CHRISTOPHER (PT)
Entity Type:Individual
Prefix:
First Name:RICK
Middle Name:CHRISTOPHER
Last Name:MONTOYA
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8311 BRIMHALL RD STE 1904
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93312-4367
Mailing Address - Country:US
Mailing Address - Phone:661-679-6238
Mailing Address - Fax:661-679-6243
Practice Address - Street 1:8311 BRIMHALL RD STE 1904
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93312-4367
Practice Address - Country:US
Practice Address - Phone:661-679-6238
Practice Address - Fax:661-679-6243
Is Sole Proprietor?:No
Enumeration Date:2009-08-28
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA35788225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist