Healthcare Provider Details

I. General information

NPI: 1124959556
Provider Name (Legal Business Name): ALANNA M STOHR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2910 ENLOE ST STE 103
HUDSON WI
54016-4539
US

IV. Provider business mailing address

2157 128TH ST
NEW RICHMOND WI
54017-6157
US

V. Phone/Fax

Practice location:
  • Phone: 715-808-8555
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: