Healthcare Provider Details

I. General information

NPI: 1750043485
Provider Name (Legal Business Name): SHAE L STOKER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/11/2021
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4601 HARTFORD ST
ABILENE TX
79605-4603
US

IV. Provider business mailing address

4601 HARTFORD ST
ABILENE TX
79605-4603
US

V. Phone/Fax

Practice location:
  • Phone: 325-793-3537
  • Fax:
Mailing address:
  • Phone: 325-793-3400
  • Fax: 325-793-3587

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number112148
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: