MS. THERESA ROSE STARK LMT, BCTMB
NPI 1275774788
Massage Therapist in Evergreen Park, IL

Q: What is Theresa Stark's NPI number?

The NPI number for Theresa Stark is 1275774788. It was assigned to this individual provider in the NPPES registry on March 12, 2009.

Q: What is Theresa 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 Theresa Stark was last updated on September 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 12, 2009

3850 W 95TH STREET, EVERGREEN PARK, IL 60805(773) 556-5333(708) 843-5811 Get Directions Write a Review

NPPES record last updated: September 21, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ms. Theresa Rose Stark Lmt, Bctmb NPPES

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

MS. THERESA ROSE STARK LMT, BCTMB (NPI 1275774788) is an individual massage therapist in Evergreen Park, Illinois, licensed in Illinois (227-008050) and active in the NPI registry since March 2009.

NPPES Registry Identity

NPI1275774788

Entity TypeIndividualFemale

Primary Taxonomy225700000X

Provider Legal NameMS. THERESA ROSE STARKCredential: LMT, BCTMB

Location Address3850 W 95TH STREETEvergreen Park, IL 60805-2034

Mailing Address3850 W 95th StreetEvergreen Park, IL 60805-2034 · (773) 556-5333 · Fax (708) 843-5811

Phone(773) 556-5333

Fax(708) 843-5811

Sole ProprietorNo

Enumeration DateMarch 12, 2009

Last NPPES UpdateSeptember 21, 2018

✔ NPI 1275774788 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 IL · 227-008050

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.

3850 W 95TH STREET, Evergreen Park, IL 60805

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theresa Stark's NPI number?

The NPI number for Theresa Stark is 1275774788. It was assigned to this individual provider in the NPPES registry on March 12, 2009.

Where is Theresa Stark located?

Theresa Stark practices at 3850 W 95th Street, Evergreen Park, IL 60805. The listed phone number is (773) 556-5333.

What is Theresa Stark's specialty?

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

When was this NPI record last updated?

The NPPES record for Theresa Stark was last updated on September 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.