Provider Demographics
NPI:1225582232
Name:MONTOYA PHYSICAL THERAPY AND WELLNESS PC
Entity Type:Organization
Organization Name:MONTOYA PHYSICAL THERAPY AND WELLNESS PC
Other - Org Name:MONTOYA PHYSICAL THERAPY AND WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICK
Authorized Official - Middle Name:CHRISTOPHER
Authorized Official - Last Name:MONTOYA
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:661-979-0415
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:661-979-0415
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:661-979-0415
Practice Address - Fax:661-679-6243
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-08
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA35788225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty