Provider Demographics
NPI:1730180902
Name:ARMSTRONG, ERIC ROY (DPT)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:ROY
Last Name:ARMSTRONG
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 608
Mailing Address - Street 2:
Mailing Address - City:RATON
Mailing Address - State:NM
Mailing Address - Zip Code:87740-0608
Mailing Address - Country:US
Mailing Address - Phone:575-445-0111
Mailing Address - Fax:575-445-0112
Practice Address - Street 1:160 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:RATON
Practice Address - State:NM
Practice Address - Zip Code:87740-2002
Practice Address - Country:US
Practice Address - Phone:575-445-0111
Practice Address - Fax:575-445-0112
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2011-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM1725225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist