Provider Demographics
NPI:1326442351
Name:MONTMINY, AIMEE (LAT, ATC, ITAT)
Entity Type:Individual
Prefix:
First Name:AIMEE
Middle Name:
Last Name:MONTMINY
Suffix:
Gender:F
Credentials:LAT, ATC, ITAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:818 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:HAVERHILL
Mailing Address - State:MA
Mailing Address - Zip Code:01832-1210
Mailing Address - Country:US
Mailing Address - Phone:603-944-3314
Mailing Address - Fax:
Practice Address - Street 1:300 HAMPSHIRE ST
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:MA
Practice Address - Zip Code:01841-3644
Practice Address - Country:US
Practice Address - Phone:603-944-3314
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-20
Last Update Date:2016-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH06112255A2300X
MA26202255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer