Dominique Starks, LMT
Massage Therapist in Little Rock, AR. Individual provider (NPI-1).
NPI number1356916746
StatusActive
Last updated in NPPESMay 26, 2021
Details
- NPI
- 1356916746
- Entity type
- Individual (NPI-1)
- Name
- Dominique Starks
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 26, 2021
- Certification date
- May 26, 2021
- Last updated
- May 26, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MT118471 | TX | Yes |
Practice location
5 Lakeside DrLittle Rock, AR 72204-8405
Phone 501-271-6224
Mailing address
Po Box 56773Little Rock, AR 72215-6773
Phone 501-271-6224
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All 24 Massage Therapist providers in Little Rock · All 15,826 providers in Little Rock
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