Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225200000X | Physical Therapy Assistant |
NPI | 1003247016 |
---|---|
Provider Name | Anna K Starks |
First Address | Lenexa, KS 66219-2791 |
Second Address | Lenexa, KS 66219-2791 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/12/2013 |
Last Update Date | 02/12/2013 |