NPI 1750571881
Elizabeth Ann Stark, LMT
Practice location
- Address
- 4005 W 65th St Suite 100, Edina, MN 55435-1720
- Phone
- (612) 501-8477
- Fax
- (952) 926-9135
Registered specialties
Mechanotherapist
Primary
Registry record
- NPI
- 1750571881
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 25 Jul 2007
- Record last updated
- 25 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.