NPI 1013394790

Usbaldo Miguel Montoya, ATCLATC

Practitioner Athletic Trainer Lowell, IN

Practice location

Address: 2051 E Commercial Ave, Lowell, IN 46356-2115
Phone: (224) 656-7014
Mailing address: 12800 Mississippi Pkwy, Crown Point, IN 46307-6900

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 36002369A (IN)

Other Specialist/Technologist providers in Indiana →

Registry record

NPI: 1013394790
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Apr 2015
Record last updated: 30 Apr 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.