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

Stacey Stark

Individual provider Occupational Therapist · NPI 1104755511

Stacey Stark is an Occupational Therapist in Shoreview, Minnesota. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

4570 Victoria St N
Shoreview, MN 55126-5800
Phone: (651) 621-6000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X

Record details

NPI number1104755511
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 14, 2026
Last updated in NPPESMay 14, 2026
Certification dateMay 14, 2026
Mailing address4570 Victoria St N, Shoreview, MN 55126-5800

Other providers in Shoreview