Provider Demographics
NPI:1568288322
Name:ARMSTRONG, AMBER KIRKLAND (PTA)
Entity type:Individual
Prefix:MS
First Name:AMBER
Middle Name:KIRKLAND
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:MS
Other - First Name:AMBER
Other - Middle Name:KIRKLAND
Other - Last Name:ARMSTRONG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PTA
Mailing Address - Street 1:289 COOK ST
Mailing Address - Street 2:
Mailing Address - City:GRAY COURT
Mailing Address - State:SC
Mailing Address - Zip Code:29645-5515
Mailing Address - Country:US
Mailing Address - Phone:864-871-1138
Mailing Address - Fax:
Practice Address - Street 1:1500 TRAILHEAD CT
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29617-6226
Practice Address - Country:US
Practice Address - Phone:864-371-3100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-26
Last Update Date:2024-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2296225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant