Healthcare Provider Details

I. General information

NPI: 1740118447
Provider Name (Legal Business Name): KATHRYN STOKES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

445 N UNIVERSITY AVE
PROVO UT
84601-2863
US

IV. Provider business mailing address

1547 E 200 N
SPANISH FORK UT
84660-5671
US

V. Phone/Fax

Practice location:
  • Phone: 801-459-0365
  • Fax:
Mailing address:
  • Phone: 801-369-4617
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: