Individual
ELLE STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
401 CASTLE CREEK RD, ASPEN, CO 81611-1159
(970) 544-1177
Mailing address
401 CASTLE CREEK RD, ASPEN, CO 81611-1159
(970) 544-1177
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL.0015858
CO
Other
Enumeration date
08/15/2019
Last updated
08/15/2019
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