Provider Demographics
NPI:1780833368
Name:ARMSTRONG, LUCAS A (PT)
Entity Type:Individual
Prefix:DR
First Name:LUCAS
Middle Name:A
Last Name:ARMSTRONG
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:13606 XAVIER LN
Mailing Address - Street 2:UNIT C
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80023-3604
Mailing Address - Country:US
Mailing Address - Phone:303-404-9494
Mailing Address - Fax:303-404-2252
Practice Address - Street 1:15000 W 6TH AVE UNIT 106-B
Practice Address - Street 2:
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80401-6586
Practice Address - Country:US
Practice Address - Phone:720-541-6817
Practice Address - Fax:720-541-6818
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-18
Last Update Date:2021-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPTL.0010084225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO311330YNRPMedicare PIN