Elizabeth Ann Stark, L.M.T.

NPI #1750571881 in Edina, Minnesota

Provider Information

NPI Number: 1750571881
Entity Type: Individual
Name: Elizabeth Ann Stark, L.M.T.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Mechanotherapist
Credential: L.M.T.
Enumeration Date: Jul 25, 2007
Last Updated: Jul 25, 2007

Practice Location

Address: 4005 W 65TH ST
Address 2: SUITE 100
City: Edina
State: Minnesota
ZIP Code: 55435-1720
Phone: (612) 501-8477

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Mechanotherapist	172M00000X	Primary

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