Provider Demographics
NPI:1871670547
Name:ARMENTROUT, JAMES
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:ARMENTROUT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1532 PRAIRIE VIEW DR
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75002-0966
Mailing Address - Country:US
Mailing Address - Phone:972-722-5678
Mailing Address - Fax:
Practice Address - Street 1:1705 W UNIVERSITY DR STE 119
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-3219
Practice Address - Country:US
Practice Address - Phone:972-569-8860
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1133544OtherLICENSE#