Heather Renae Stark, PTA
NPI #1194485045 in Pawnee City, Nebraska
Provider Information
- NPI Number
- 1194485045
- Entity Type
- Individual
- Name
- Heather Renae Stark, PTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Dec 20, 2021
- Last Updated
- Dec 20, 2021
Practice Location
- Address
- 600 I ST
- City
- Pawnee City
- State
- Nebraska
- ZIP Code
- 68420-3001
- Phone
- (402) 852-2231
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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