Individual provider · Type 1 NPI
Timothy W. Stark, DC DACBSP ICSSD CSCS
Sports Physician Chiropractor · West Fargo, ND
Practice location
715 13th Ave E, Suite 101
West Fargo, ND 58078-3380
Fax (701) 492-0696
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Sports Physician Chiropractor Primary | 111NS0005X | 647 (ND) |
Sports Physician Chiropractor: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training …
About NPI 1811147325
Timothy W. Stark, DC DACBSP ICSSD CSCS's National Provider Identifier is 1811147325, issued on Sep 22, 2008. The primary taxonomy on file is Sports Physician Chiropractor (111NS0005X), and the practice location is in West Fargo, ND. The record was last updated on Sep 22, 2008.