Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHELLY STARK, OTR
Active Sole ProprietorSHELLY STARK, OTR is a Occupational Therapist healthcare provider located in BROOMFIELD, Colorado. NPI 1558606509 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · BROOMFIELD, CO
Registration Details
- NPI Number
- 1558606509
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 3, 2012 (13.658398595033 yrs)
- Last Updated
- Dec 3, 2012
- License
-
1925 (CO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
16671 TRINITY LOOPBROOMFIELD, CO, 800234670Browse CO providers · Browse ZIP 80023
- Phone
- 8582209598
- Primary Specialty
-
Occupational Therapist
225X00000X
Other Occupational Therapist Providers in BROOMFIELD, CO
| Name | Credential | NPI |
|---|---|---|
| JILLENE MCMINN BLACK | OTR | 1891941431 |
| LORETTA L O'DELL | — | 1659505295 |
| ERICA R MERCER | OTR | 1093012023 |
| CARINA SORENSON | OTR/L | 1215229521 |
| LAUREN KAYE BRAATEN | OTR/L | 1023306131 |
| MR. ADAM KOSOFSKY | OTR/L | 1609296755 |
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.