Gerald Dwayne Stakely Jr., PTA
Physical Therapy Assistant · Mocksville, NC
Practice location
162 Deacon WayMocksville, NC 27028-5183
- Phone
- (336) 480-8368
NPI record
- NPI
- 1952895617
- Entity type
- Individual (Type 1)
- Enumeration date
- June 17, 2018
- Last updated
- June 17, 2018
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapy Assistant Primary | 225200000X |
6516 | NC |
About Gerald Stakely
Gerald Dwayne Stakely Jr., PTA is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 162 Deacon Way, Mocksville, NC 27028-5183. The NPI number 1952895617 was assigned on June 17, 2018 and the record was last updated on June 17, 2018.
Gerald Stakely lists a license in the registry: #6516 (NC) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Gerald Dwayne Stakely Jr., PTA?
The NPI number is 1952895617.
What is the phone number of Gerald Stakely?
The phone number listed for the practice location is (336) 480-8368.
Where is Gerald Stakely located?
162 Deacon Way, Mocksville, NC 27028-5183.
What is the taxonomy code for Gerald Stakely?
The primary taxonomy code is 225200000X – Physical Therapy Assistant.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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