NPI 1184501991

Gerald Elmer Stark

Practitioner Prosthetist Signal Mountain, TN

Practice location

Address: 326 N Palisades Dr, Signal Mountain, TN 37377-3041
Phone: (423) 889-1590

Registered specialties (2)

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence PR00000000014 (TN)

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Orthotist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence ORT0000000013 (TN)

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Registry record

NPI: 1184501991
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Aug 2025
Record last updated: 21 Aug 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.