Healthcare Provider Details

I. General information

NPI: 1538087408
Provider Name (Legal Business Name): STEPHANIE STOKES DPT, CDRS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1389 N CEDARBROOK AVE
SPRINGFIELD MO
65802-6803
US

IV. Provider business mailing address

1389 N CEDARBROOK AVE
SPRINGFIELD MO
65802-6803
US

V. Phone/Fax

Practice location:
  • Phone: 417-501-4464
  • Fax: 866-591-9533
Mailing address:
  • Phone: 417-501-4464
  • Fax: 866-591-9533

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2008019462
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: