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NPI Code Detail

MEDICARE: CINDY K STARK

MEDICARE: CINDY K STARK
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12305203167OTHERVALICENSE#

General Provider Information

NPI Number : 1205986478
Entity Type Code : Individual
Provider Name (Legal Business Name) : CINDY K STARK
Provider Business Mailing Address
First Line : 226 WESTMINISTER DR
Second Line :
City : FISHERSVILLE
State : VA
Zip : 22939-2109
Country : US
Telephone Number : 540-941-5295
Fax Number :
Provider Business Practice Location Address
First Line : 1609 N COALTER ST
Second Line :
City : STAUNTON
State : VA
Zip : 24401-2552
Country : US
Telephone Number : 540-886-4510
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2007
Last Update Date : 03/13/2009

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Directions to “ CINDY K STARK ” Practice Location

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