Individual provider · Type 1 NPI

Shawn Daniel Stork, PTA

Physical Therapy Assistant · Dyersburg, TN

NPI number 1922804327 Active

Practice location

2035 Saint John Ave Ste 2
Dyersburg, TN 38024-2247

Call (731) 325-5515 Map

Mailing address

2791 Millsfield Hwy
Dyersburg, TN 38024-1001

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X5783 (TN)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1922804327

Shawn Daniel Stork, PTA's National Provider Identifier is 1922804327, issued on Feb 25, 2025. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Dyersburg, TN. The record was last updated on Feb 25, 2025.