Individual
JONATHON STARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1855 S ROCK RD STE 155, WICHITA, KS 67207-5113
(316) 682-6333
Mailing address
2023 N BROADMOOR ST UNIT 466, WICHITA, KS 67206-2699
(660) 281-4420
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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