Individual
DANE MICHAEL STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1923 N WEBB RD, WICHITA, KS 67206-3405
(316) 262-4886
(316) 262-4887
Mailing address
1923 N WEBB RD, WICHITA, KS 67206-3405
(316) 262-4886
(316) 684-3326
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
01968
MO
225100000X
Physical Therapist
Primary
1101792
KS
Other
Enumeration date
12/30/2005
Last updated
03/18/2026
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