Provider Demographics
NPI:1194262071
Name:ARMSTER,, ROBERT JR
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:
Last Name:ARMSTER,
Suffix:JR
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:PO BOX 100
Mailing Address - Street 2:
Mailing Address - City:PROSPECT
Mailing Address - State:TN
Mailing Address - Zip Code:38477-0100
Mailing Address - Country:US
Mailing Address - Phone:931-619-2116
Mailing Address - Fax:
Practice Address - Street 1:6124 PROSPECT ELKTON RD
Practice Address - Street 2:
Practice Address - City:PROSPECT
Practice Address - State:TN
Practice Address - Zip Code:38477-6239
Practice Address - Country:US
Practice Address - Phone:931-619-2116
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-30
Last Update Date:2017-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN11648225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist