Individual
JONATHON STARKE
Active
Individual
JONATHON STARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-07798
KS
225100000X
Physical Therapist
2017027012
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11-07798
KANSAS STATE BOARD OF HEALING ARTS
KS
01
—
2017027012
MISSOURI BOARD OF HEALING ARTS
MO
Enumeration date
09/07/2017
Last updated
05/19/2025
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