Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jessica Jolene Stark, CTRS

Individual provider Recreation Therapist · NPI 1427706951

Jessica Jolene Stark, CTRS is a Recreation Therapist in Kingsley, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2022
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Practice location Address checks out

4040 Beacon St
Kingsley, MI 49649-9548
Phone: (231) 263-1350
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Recreation Therapist (primary) Taxonomy 225800000X · Licence 54643 (MI)

Record details

NPI number1427706951
Entity typeIndividual (Type 1)
GenderFemale
Credentials CTRS
Sole proprietorYes
NPI enumeratedMarch 14, 2022
Last updated in NPPESMarch 14, 2022
Certification dateMarch 14, 2022

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