Provider Demographics
NPI:1861965246
Name:STARKEY, TORIN EDWARD (PTA)
Entity type:Individual
Prefix:
First Name:TORIN
Middle Name:EDWARD
Last Name:STARKEY
Suffix:
Gender:M
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1321 N NORTHWOOD CENTER CT STE B
Mailing Address - Street 2:
Mailing Address - City:COEUR D ALENE
Mailing Address - State:ID
Mailing Address - Zip Code:83814-4944
Mailing Address - Country:US
Mailing Address - Phone:206-665-7055
Mailing Address - Fax:208-665-7093
Practice Address - Street 1:1321 N NORTHWOOD CENTER CT STE B
Practice Address - Street 2:
Practice Address - City:COEUR D ALENE
Practice Address - State:ID
Practice Address - Zip Code:83814-4944
Practice Address - Country:US
Practice Address - Phone:208-665-7055
Practice Address - Fax:208-665-7093
Is Sole Proprietor?:No
Enumeration Date:2019-01-08
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDPTA-3751225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
IDPTA-3751OtherSTATE OF IDAHO BOARD OF OCCUPATIONAL LICENCES