Individual
MISS KIMBERLY MARIE STARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, CMT
Contact information
Practice address
980 N GRANT ST STE 100, DENVER, CO 80203-2907
(303) 832-3668
Mailing address
2682 S CATHAY WAY UNIT 111, AURORA, CO 80013-6047
(610) 203-6198
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0020153
CO
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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