Tesha L Stark, LMT-MT-20187
Individual provider Active NPI Massage Therapist · Plains, MT
NPI 1730063751 · NPPES record last updated Aug 4, 2025
Key facts
- NPI
- 1730063751
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- LMT-MT-20187 (MT)
- Practice address
- 7671 Mt Highway 200
Plains, MT 59859-9423 - Phone
- (406) 210-4309
- NPI assigned
- Aug 4, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMT-MT-20187 | MT | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | LMT-MT-20187 | MT | Yes |
Addresses
Primary practice location
7671 Mt Highway 200
Plains, MT 59859-9423
Mailing address
PO Box 1689
Thompson Falls, MT 59873-1689
Phone (406) 210-4309
Other providers in Plains, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.