Individual provider · NPI-1

Rusty Armstrong, LAT, ATC, CSCS

Specialist/Technologist, Athletic Trainer · San Antonio, TX

NPI number1861486086
StatusActive
Last updated in NPPESAug 20, 2014

Details

NPI
1861486086
Entity type
Individual (NPI-1)
Name
Mr. Rusty Armstrong
Credential
LAT, ATC, CSCS
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 2, 2005
Last updated
Aug 20, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer0649NCYes
2255R0406X Specialist/Technologist, Rehabilitation, Blind0649NC

Practice location

24165 Ih 10 W Ste 217-469
San Antonio, TX 78257-1159

Phone 704-661-4805

Mailing address

24165 Ih 10 W Ste 217-469
San Antonio, TX 78257-1159

Phone 704-661-4805

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