Provider Demographics
NPI:1033232756
Name:ARMSTRONG, KIRK JOHN (ATC, LAT)
Entity type:Individual
Prefix:MR
First Name:KIRK
Middle Name:JOHN
Last Name:ARMSTRONG
Suffix:
Gender:M
Credentials:ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1801 N FOREST AVE
Mailing Address - Street 2:
Mailing Address - City:MUNCIE
Mailing Address - State:IN
Mailing Address - Zip Code:47304-2517
Mailing Address - Country:US
Mailing Address - Phone:765-729-5012
Mailing Address - Fax:765-285-8254
Practice Address - Street 1:BALL STATE UNIVESITY
Practice Address - Street 2:2000 W. UNIVERSITY BLVD
Practice Address - City:MUNCIE
Practice Address - State:IN
Practice Address - Zip Code:47306-0001
Practice Address - Country:US
Practice Address - Phone:765-285-5039
Practice Address - Fax:765-282-8254
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN36000893A2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer