Provider Demographics
NPI:1578749404
Name:ARMSTRONG-KRAFT, SHARON R (LMT)
Entity Type:Individual
Prefix:MS
First Name:SHARON
Middle Name:R
Last Name:ARMSTRONG-KRAFT
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 1:702 WAUKEGAN RD UNIT A7
Mailing Address - Street 2:
Mailing Address - City:GLENVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60025-4359
Mailing Address - Country:US
Mailing Address - Phone:800-424-3868
Mailing Address - Fax:
Practice Address - Street 1:405 LAKE COOK RD
Practice Address - Street 2:SUITE A211
Practice Address - City:DEERFIELD
Practice Address - State:IL
Practice Address - Zip Code:60015-4993
Practice Address - Country:US
Practice Address - Phone:800-424-3868
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-09
Last Update Date:2011-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL227-002666225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist