IndividualActive
Gerald Stark
NPI 1184501991 · Prosthetist · Signal Mountain, TN
Provider details
- NPI number
- 1184501991
- Entity type
- Individual
- Primary specialty
- ProsthetistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- ORT0000000013 (TN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
326 N Palisades Dr
Signal Mountain, TN 37377-3041
Phone: (423) 889-1590
Approximate (ZIP-level) locationGet directions
Mailing address
326 N Palisades Dr
Signal Mountain, TN 37377-3041
Registry dates
- Enumerated
- 2025-08-21
- Last updated
- 2025-08-21
- Certified
- 2025-08-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.