Provider Demographics
NPI:1801368865
Name:ARMSTRONG, LAIRD (RPTA)
Entity Type:Individual
Prefix:
First Name:LAIRD
Middle Name:
Last Name:ARMSTRONG
Suffix:
Gender:M
Credentials:RPTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2201 E WOODLAND CIR
Mailing Address - Street 2:
Mailing Address - City:MUSKOGEE
Mailing Address - State:OK
Mailing Address - Zip Code:74403-8269
Mailing Address - Country:US
Mailing Address - Phone:918-681-4994
Mailing Address - Fax:
Practice Address - Street 1:2201 E WOODLAND CIR
Practice Address - Street 2:
Practice Address - City:MUSKOGEE
Practice Address - State:OK
Practice Address - Zip Code:74403-8269
Practice Address - Country:US
Practice Address - Phone:918-869-0548
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-31
Last Update Date:2018-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK345225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant