MS. THERESA ROSE STARK LMT BCTMB NPI 1275774788

NPI Information

NPI: 1275774788
Provider Name: MS. THERESA ROSE STARK, LMT, BCTMB
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
3850 W 95TH STREET
EVERGREEN PARK, IL
ZIP 60805
Phone: (773) 556-5333
Get Directions

MS. Theresa Rose Stark, LMT, BCTMB is a massage therapist in Evergreen Park, IL. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. MS. Theresa Rose Stark, LMT, BCTMB NPI is 1275774788. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3850 W 95TH STREET
EVERGREEN PARK, IL
ZIP 60805-034
Phone: (773) 556-5333
Fax: (708) 843-5811

The enumeration date for this NPI number is 3/12/2009 and was last updated on 9/21/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225700000X	Massage Therapist		227-008050	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »