Provider Demographics
NPI:1346657699
Name:ARMOUDIKIAN, SILVA (LMT)
Entity Type:Individual
Prefix:
First Name:SILVA
Middle Name:
Last Name:ARMOUDIKIAN
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:65814 6TH ST
Mailing Address - Street 2:
Mailing Address - City:DESERT HOT SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92240-3011
Mailing Address - Country:US
Mailing Address - Phone:626-431-2887
Mailing Address - Fax:
Practice Address - Street 1:65814 6TH ST
Practice Address - Street 2:
Practice Address - City:DESERT HOT SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92240-3011
Practice Address - Country:US
Practice Address - Phone:626-431-2887
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-18
Last Update Date:2014-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA36141225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist