IndividualActive
Timothy Stark, DC DACBSP ICSSD CSCS
NPI 1811147325 · Sports Physician Chiropractor · West Fargo, ND
Provider details
- NPI number
- 1811147325
- Entity type
- Individual
- Primary specialty
- Sports Physician ChiropractorChiropractic Providers
- Credential
- DC DACBSP ICSSD CSCS
- Sex
- Male
- Sole proprietor
- No
- License
- 647 (ND)
Specialties & taxonomies
Chiropractic Providers
Practice location
715 13th Ave E
Suite 101
West Fargo, ND 58078-3380
Phone: (701) 492-0696
Fax: (701) 492-0696
Approximate (ZIP-level) locationGet directions
Mailing address
715 13th Ave E
West Fargo, ND 58078-3380
Registry dates
- Enumerated
- 2008-09-22
- Last updated
- 2008-09-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.