Individual provider · Type 1 NPI

Kelly Ann Stark

Massage Therapist · Hillsboro, OR

NPI number 1104332006 Active

Practice location

2167 NW 185th Ave
Hillsboro, OR 97124-7074

Call (503) 336-3456 Map

Mailing address

1612 NE Parkside Dr
Hillsboro, OR 97124-3925

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X11440 (OR)

Massage Therapist: 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.

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About NPI 1104332006

Kelly Ann Stark's National Provider Identifier is 1104332006, issued on Dec 15, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Hillsboro, OR. The record was last updated on Dec 15, 2017.