Provider Demographics
NPI:1003888926
Name:ARMSTRONG, TRAVIS LEE (MS, ACT)
Entity Type:Individual
Prefix:MR
First Name:TRAVIS
Middle Name:LEE
Last Name:ARMSTRONG
Suffix:
Gender:M
Credentials:MS, ACT
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Mailing Address - Street 1:9612 N 84TH DR
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85345-7140
Mailing Address - Country:US
Mailing Address - Phone:602-639-6925
Mailing Address - Fax:602-343-4827
Practice Address - Street 1:9612 N 84TH DR
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85345-7140
Practice Address - Country:US
Practice Address - Phone:602-639-6925
Practice Address - Fax:602-343-4827
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-03
Last Update Date:2016-01-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ10252255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer