Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael Wayne Montgomery, MA, ATC, LAT, LMT

Individual provider Athletic Trainer · NPI 1689643116

Michael Wayne Montgomery, MA, ATC, LAT, LMT is an Athletic Trainer in Bardstown, Kentucky. Practices as a sole proprietor. Licensed in Indiana and Kentucky.

Licensed in
IN, KY
In the registry since
2006
Specialties on file
2
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

102 Crystal Springs Dr
Bardstown, KY 40004-8203
Phone: (502) 460-4557
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 106160 (KY)
Athletic Trainer Taxonomy 2255A2300X · Licence 36000895A (IN)

Record details

NPI number1689643116
Entity typeIndividual (Type 1)
GenderMale
Credentials MA , ATC , LAT , LMT
Sole proprietorYes
NPI enumeratedMarch 16, 2006
Last updated in NPPESDecember 30, 2024
Certification dateDecember 30, 2024

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