Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mark W Statham, PT

Individual provider Physical Therapist · NPI 1922002831

Mark W Statham, PT is a Physical Therapist in Flagstaff, Arizona. Licensed in Arizona. Registered with an NPI since 2005.

Licensed in
AZ
In the registry since
2005
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

715 N Beaver St
Flagstaff, AZ 86001
Phone: (928) 773-1601
Fax: (928) 773-1603
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence AZ2618 (AZ)

Record details

NPI number1922002831
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJune 8, 2005
Last updated in NPPESMarch 4, 2008
Mailing address715 N Beaver St, Flagstaff, AZ 86001

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