Provider Demographics
NPI:1477448843
Name:PHARR, ADAM ROBERT STORMS (PTA)
Entity type:Individual
Prefix:MR
First Name:ADAM
Middle Name:ROBERT STORMS
Last Name:PHARR
Suffix:
Gender:M
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5896 DIXIE HWY STE B
Mailing Address - Street 2:
Mailing Address - City:CLARKSTON
Mailing Address - State:MI
Mailing Address - Zip Code:48346-4503
Mailing Address - Country:US
Mailing Address - Phone:248-895-6966
Mailing Address - Fax:248-461-6594
Practice Address - Street 1:5896 DIXIE HWY STE B
Practice Address - Street 2:
Practice Address - City:CLARKSTON
Practice Address - State:MI
Practice Address - Zip Code:48346-4503
Practice Address - Country:US
Practice Address - Phone:248-461-6594
Practice Address - Fax:248-461-6594
Is Sole Proprietor?:No
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5502004765225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant