Provider Demographics
NPI:1326540352
Name:ANTOYAN, ROBYN (ATC)
Entity type:Individual
Prefix:
First Name:ROBYN
Middle Name:
Last Name:ANTOYAN
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1414 N CEDAR ST
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98406-6424
Mailing Address - Country:US
Mailing Address - Phone:559-974-7104
Mailing Address - Fax:
Practice Address - Street 1:RAILROAD AVE
Practice Address - Street 2:BLDG 03669
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98433
Practice Address - Country:US
Practice Address - Phone:757-335-4555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-06
Last Update Date:2025-10-29
Deactivation Date:2021-01-20
Deactivation Code:
Reactivation Date:2022-10-27
Provider Licenses
StateLicense IDTaxonomies
WAA1612531802255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer