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Ms. Theresa Rose Stark, LMT,BCTMB
Massage Therapist in Evergreen Park, Illinois
NPI 1275774788

Theresa Rose Stark is a Massage Therapist based in Evergreen Park, IL. Theresa Rose Stark practices in Evergreen Park, IL and has the professional credentials of LMT,BCTMB. The NPI Number for Theresa Rose Stark is 1275774788 and holds a License No. 227-008050 (Illinois).

The current practice location address for Theresa Rose Stark is 3850 W 95Th Street, Evergreen Park, IL and can be reached out via phone at 773-556-5333 and via fax at 708-843-5811.

Location: 3850 W 95Th Street, Evergreen Park, IL, 60805-2034
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275774788
Provider Name
Theresa Rose Stark
Credential
LMT,BCTMB
Provider Entity Type
Individual
Gender
Female
Address
3850 W 95Th Street, Evergreen Park, IL, 60805-2034
Phone Number
773-556-5333
Fax Number
708-843-5811
Provider Enumeration Date
03/12/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3850 W 95Th Street
City
Evergreen Park
State
Illinois
Zip
60805-2034
Phone Number
773-556-5333
Fax Number
708-843-5811
person
Provider Business Mailing Address Details
Address
3850 W 95Th Street
City
Evergreen Park
State
Illinois
Zip
60805-2034
Phone Number
773-556-5333
Fax Number
708-843-5811
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
227-008050 (Illinois)
Definition
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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