Provider Demographics
NPI:1013946680
Name:STRICKLAND, MONTY M (PT)
Entity Type:Individual
Prefix:
First Name:MONTY
Middle Name:M
Last Name:STRICKLAND
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 1:736 JOHNSON FERRY RD
Mailing Address - Street 2:SUITE A-12
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30068-4379
Mailing Address - Country:US
Mailing Address - Phone:404-367-2085
Mailing Address - Fax:773-579-7060
Practice Address - Street 1:736 JOHNSON FERRY RD
Practice Address - Street 2:SUITE A-12
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30068-4379
Practice Address - Country:US
Practice Address - Phone:404-367-2085
Practice Address - Fax:773-579-7060
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2013-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA225100000X
GAPT007530225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist