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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JESSICA JOLENE STARK, CTRS

Active Sole Proprietor

JESSICA JOLENE STARK, CTRS is a Recreation Therapist healthcare provider located in KINGSLEY, Michigan. NPI 1427706951 is currently active in the NPPES registry. Verify at CMS.

Recreation Therapist · KINGSLEY, MI

Registration Details

NPI Number
1427706951
Provider Type
Individual
Gender
Female
NPI Issued
Mar 14, 2022 (4.4138203459217 yrs)
Last Updated
Mar 14, 2022
License
54643 (MI)
Sole Proprietor
Yes

Practice Information

Address
4040 BEACON ST
KINGSLEY, MI, 496499548
Browse MI providers · Browse ZIP 49649
Phone
2312631350
Primary Specialty
Recreation Therapist
225800000X

Other Recreation Therapist Providers in KINGSLEY, MI

Name Credential NPI
OLIVIA HELDT CTRS 1427706928
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.