Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLI ANN STARK, COTA/L
Active Sole ProprietorKELLI ANN STARK, COTA/L is a Pediatric Occupational Therapist healthcare provider located in PRINCETON, Missouri. NPI 1578424859 is currently active in the NPPES registry. Verify at CMS.
Pediatric Occupational Therapist · PRINCETON, MO
Registration Details
- NPI Number
- 1578424859
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 18, 2025 (0.75311951006364 yrs)
- Last Updated
- Nov 18, 2025
- License
-
2014001138 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
24998 HIGHWAY APRINCETON, MO, 646734687Browse MO providers · Browse ZIP 64673
- Phone
- 6609531246
- Primary Specialty
-
Pediatric Occupational Therapist
225XP0200X
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.