Provider Demographics
NPI:1003247016
Name:STARKS, ANNA K
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:K
Last Name:STARKS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8426 MAURER RD APT 1513
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66219-2791
Mailing Address - Country:US
Mailing Address - Phone:620-669-7763
Mailing Address - Fax:
Practice Address - Street 1:8426 MAURER RD APT 1513
Practice Address - Street 2:
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66219-2791
Practice Address - Country:US
Practice Address - Phone:620-669-7763
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-02
Last Update Date:2013-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant