Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK W STATHAM, PT
ActiveMARK W STATHAM, PT is a Physical Therapy Assistant healthcare provider located in FLAGSTAFF, Arizona. NPI 1922002831 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · FLAGSTAFF, AZ
Registration Details
- NPI Number
- 1922002831
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 8, 2005 (20.996145330355 yrs)
- Last Updated
- Mar 4, 2008
- License
-
AZ2618 (AZ)
Practice Information
- Address
-
715 N BEAVER STFLAGSTAFF, AZ, 86001Browse AZ providers · Browse ZIP 86001
- Phone
- 9287731601
- Fax
- 9287731603
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in FLAGSTAFF, AZ
| Name | Credential | NPI |
|---|---|---|
| JOSEPH MICHAEL CARTER | PT, DPT | 1316941149 |
| VALERIE ANN CARTER | PT, DPT, NCS | 1528013919 |
| DR. KELLY K. FOSBERG | PT, DPT, PHD, OCS | 1932135282 |
| JAMES D MCCALLUM | DPT | 1750319372 |
| ERIN FLANAGAN GUINAN | DPT | 1881604262 |
| MRS. CHRISTIN S CLENDANIEL | PT, DPT | 1699882266 |
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.