Provider Demographics
NPI:1437128816
Name:MONTMINY, VALERIE E (MPT)
Entity type:Individual
Prefix:MRS
First Name:VALERIE
Middle Name:E
Last Name:MONTMINY
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:VALERIE
Other - Middle Name:E
Other - Last Name:MONTMINY-LOVEJOY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:4534 WESTGATE BLVD
Mailing Address - Street 2:STE 104
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78745
Mailing Address - Country:US
Mailing Address - Phone:512-892-7337
Mailing Address - Fax:512-892-7339
Practice Address - Street 1:4534 WESTGATE
Practice Address - Street 2:STE 104
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745
Practice Address - Country:US
Practice Address - Phone:512-892-7337
Practice Address - Fax:512-892-7339
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1120830225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
456677Medicare ID - Type Unspecified