Search › Illinois › 225700000X
Theresa Stark, LMT, BCTMB
NPI 1275774788 · on the registry since 2009
Practice
- Address
- 3850 W 95th Street
Evergreen Park, IL 60805 - Phone
- (773) 556-5333
- Fax
- (708) 843-5811
- Organisation at this address
- Functionally Balanced Bodywork Clinics, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-09-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois