Provider Demographics
NPI:1376200444
Name:STOCKETT, JOSEPH CLAYTON (ATC)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:CLAYTON
Last Name:STOCKETT
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3000 MOUNTAIN CREEK PKWY
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75211-6700
Mailing Address - Country:US
Mailing Address - Phone:214-333-5667
Mailing Address - Fax:
Practice Address - Street 1:3000 MOUNTAIN CREEK PKWY
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75211-6700
Practice Address - Country:US
Practice Address - Phone:214-333-5667
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-23
Last Update Date:2021-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer