Provider Demographics
NPI:1699552281
Name:ERICKSON ARMBRUST, JOSEY A (MASSAGE THERAPIST)
Entity type:Individual
Prefix:
First Name:JOSEY
Middle Name:A
Last Name:ERICKSON ARMBRUST
Suffix:
Gender:F
Credentials:MASSAGE THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12649 20TH ST SW
Mailing Address - Street 2:
Mailing Address - City:BELFIELD
Mailing Address - State:ND
Mailing Address - Zip Code:58622-9312
Mailing Address - Country:US
Mailing Address - Phone:701-870-1053
Mailing Address - Fax:
Practice Address - Street 1:220 4TH AVE SW STE A2
Practice Address - Street 2:
Practice Address - City:KILLDEER
Practice Address - State:ND
Practice Address - Zip Code:58640-8500
Practice Address - Country:US
Practice Address - Phone:701-870-1053
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-08
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND21155225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty