Individual
KAYLA STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
150 COBBLESTONE LN, BURNSVILLE, MN 55337-4578
(612) 273-6228
Mailing address
648 HILLWOOD DR, SHAKOPEE, MN 55379-8963
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12249
MN
Other
Enumeration date
06/15/2021
Last updated
06/15/2021
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