Individual
BENJAMIN ARMSTRONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
202 S PARK ST, MADISON, WI 53715-1507
(608) 417-8500
Mailing address
202 S PARK ST, MADISON, WI 53715-1507
(608) 417-8500
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11065-24
WI
225100000X
Physical Therapist
5501014499
MI
225100000X
Physical Therapist
PT008161
GA
2251X0800X
Orthopedic Physical Therapist
11065
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0B81315
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
05
—
47970005
—
MI
01
—
861093146
HEALTHNET FEDERAL SERVICES
MI
Enumeration date
11/16/2006
Last updated
02/16/2024
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