KELLY ANN STARK
NPI 1104332006
Massage Therapist in Hillsboro, OR

Q: What is Kelly Stark's NPI number?

The NPI number for Kelly Stark is 1104332006. It was assigned to this individual provider in the NPPES registry on December 15, 2017.

Q: What is Kelly Stark's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Stark was last updated on December 15, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 15, 2017

2167 NW 185TH AVE, HILLSBORO, OR 97124(503) 336-3456 Get Directions Write a Review

NPPES record last updated: December 15, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Kelly Ann Stark NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY ANN STARK (NPI 1104332006) is an individual massage therapist in Hillsboro, Oregon, licensed in Oregon (11440) and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1104332006

Entity TypeIndividualFemale

Primary Taxonomy225700000X

Provider Legal NameKELLY ANN STARK

Location Address2167 NW 185TH AVEHillsboro, OR 97124-7074

Mailing Address1612 Ne Parkside DrHillsboro, OR 97124-3925 · (503) 857-9504

Phone(503) 336-3456

Sole ProprietorYes

Enumeration DateDecember 15, 2017

✔ NPI 1104332006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225700000X

License✔ Licensed in OR · 11440

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.

2167 NW 185TH AVE, Hillsboro, OR 97124

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