Provider Demographics
NPI:1831400928
Name:ARMSTRONG, WILLIAM J (MHS PT)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:J
Last Name:ARMSTRONG
Suffix:
Gender:M
Credentials:MHS PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3707 LAKEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:GREENFIELD
Mailing Address - State:IN
Mailing Address - Zip Code:46140-8738
Mailing Address - Country:US
Mailing Address - Phone:317-435-6868
Mailing Address - Fax:
Practice Address - Street 1:3707 LAKEWOOD DR
Practice Address - Street 2:
Practice Address - City:GREENFIELD
Practice Address - State:IN
Practice Address - Zip Code:46140-8738
Practice Address - Country:US
Practice Address - Phone:317-435-6868
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-23
Last Update Date:2010-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05000743A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist