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Joshua Staker, MS, ATC, LAT

NPI 1801432430 · on the registry since 2019 · sole proprietor

Practice

Address
5185 3rd Infantry Division Rd
Fort Benning, GA 31905
Phone
(765) 251-0556

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-11-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia