Individual
MR. SHAWN DANIEL STORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2035 SAINT JOHN AVE STE 2, DYERSBURG, TN 38024-2247
(731) 325-5515
Mailing address
2791 MILLSFIELD HWY, DYERSBURG, TN 38024-1001
(731) 225-2055
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5783
TN
Other
Enumeration date
02/25/2025
Last updated
02/25/2025
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