Provider Demographics
NPI:1194797720
Name:STARKEY, CHARLES ANTHONY (ATC, LAT)
Entity type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:ANTHONY
Last Name:STARKEY
Suffix:
Gender:M
Credentials:ATC, LAT
Other - Prefix:
Other - First Name:CHAD
Other - Middle Name:
Other - Last Name:STARKEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ATC, LAT
Mailing Address - Street 1:10 OHIO AVE
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:OH
Mailing Address - Zip Code:45701-1914
Mailing Address - Country:US
Mailing Address - Phone:617-504-3354
Mailing Address - Fax:
Practice Address - Street 1:E346 GROVER CENTER
Practice Address - Street 2:OHIO UNIVERSITY
Practice Address - City:ATHENS
Practice Address - State:OH
Practice Address - Zip Code:45701
Practice Address - Country:US
Practice Address - Phone:740-593-1217
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAT002587225500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225500000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/Technologist