Provider Demographics
NPI:1982029120
Name:STARKEY, LISA M (PTA, CSCS)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:M
Last Name:STARKEY
Suffix:
Gender:F
Credentials:PTA, CSCS
Other - Prefix:
Other - First Name:LISA
Other - Middle Name:M
Other - Last Name:ZAFFARESE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:600 S 21ST ST
Mailing Address - Street 2:SUITE 130
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80904-3762
Mailing Address - Country:US
Mailing Address - Phone:719-634-1110
Mailing Address - Fax:719-634-1112
Practice Address - Street 1:600 S 21ST ST
Practice Address - Street 2:SUITE 130
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80904-3762
Practice Address - Country:US
Practice Address - Phone:719-634-1110
Practice Address - Fax:719-634-1112
Is Sole Proprietor?:No
Enumeration Date:2014-02-25
Last Update Date:2014-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant