Healthcare Provider Details

I. General information

NPI: 1588099188
Provider Name (Legal Business Name): JODI STONEFELT DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/13/2013
Last Update Date: 02/28/2020
Certification Date: 02/28/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2324 BATH ST STE A
SANTA BARBARA CA
93105-4330
US

IV. Provider business mailing address

2324 BATH ST STE A
SANTA BARBARA CA
93105-4330
US

V. Phone/Fax

Practice location:
  • Phone: 805-682-3870
  • Fax: 805-569-3860
Mailing address:
  • Phone: 805-682-3870
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number070.020052
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: