Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RIC DOUGLAS STARK, P.T.
Active Sole ProprietorRIC DOUGLAS STARK, P.T. is a Physical Therapy Assistant healthcare provider located in HANA, Hawaii. NPI 1124357744 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · HANA, HI
Registration Details
- NPI Number
- 1124357744
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 10, 2009 (16.689498636682 yrs)
- Last Updated
- Dec 10, 2009
- License
-
PT 722 (HI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4351 HANA HIGHWAYHANA, HI, 96713Browse HI providers · Browse ZIP 96713
- Phone
- 8088959350
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in HANA, HI
| Name | Credential | NPI |
|---|---|---|
| BRENDEN LEWER | PT, DPT | 1679777924 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.