Provider Demographics
NPI:1609597129
Name:ARMSTRONG, DEMI (OTR/L)
Entity Type:Individual
Prefix:
First Name:DEMI
Middle Name:
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2102 E COW CREEK LN
Mailing Address - Street 2:
Mailing Address - City:PITTSBURG
Mailing Address - State:KS
Mailing Address - Zip Code:66762-8759
Mailing Address - Country:US
Mailing Address - Phone:573-205-3887
Mailing Address - Fax:
Practice Address - Street 1:2102 E COW CREEK LN
Practice Address - Street 2:
Practice Address - City:PITTSBURG
Practice Address - State:KS
Practice Address - Zip Code:66762-8759
Practice Address - Country:US
Practice Address - Phone:573-205-3887
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-05
Last Update Date:2022-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225X00000X
MO2021042859225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist