Provider Demographics
NPI:1467920173
Name:MONTEZ, MARGARET (PTA)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:MONTEZ
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9826 N LAKE CREEK PKWY UNIT 10209
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78717-6019
Mailing Address - Country:US
Mailing Address - Phone:361-288-0260
Mailing Address - Fax:
Practice Address - Street 1:2171 WOODWARD ST
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78744-1049
Practice Address - Country:US
Practice Address - Phone:512-610-3001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-12
Last Update Date:2018-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2071267225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant