John Mitchell Stark, PTA
Physical Therapy Assistant · Germantown, TN
Practice location
2100 Exeter RdGermantown, TN 38138-3922
- Phone
- (901) 757-1350
NPI record
- NPI
- 1962628578
- Entity type
- Individual (Type 1)
- Enumeration date
- April 18, 2007
- Last updated
- July 8, 2007
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapy Assistant Primary | 225200000X |
PTA0000002893 | TN |
Mailing address
344 Homeville RdCollierville, TN 38017-2310
- Phone
- (901) 647-5236
About John Stark
John Mitchell Stark, PTA is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 2100 Exeter Rd, Germantown, TN 38138-3922. The NPI number 1962628578 was assigned on April 18, 2007 and the record was last updated on July 8, 2007.
John Stark lists a license in the registry: #PTA0000002893 (TN) 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 John Mitchell Stark, PTA?
The NPI number is 1962628578.
What is the phone number of John Stark?
The phone number listed for the practice location is (901) 757-1350.
Where is John Stark located?
2100 Exeter Rd, Germantown, TN 38138-3922.
What is the taxonomy code for John Stark?
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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