Provider Demographics
NPI:1922488311
Name:STOKKEN, JOSIE CHRISTINE (PT)
Entity Type:Individual
Prefix:
First Name:JOSIE
Middle Name:CHRISTINE
Last Name:STOKKEN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 W JANEAUX ST
Mailing Address - Street 2:
Mailing Address - City:LEWISTOWN
Mailing Address - State:MT
Mailing Address - Zip Code:59457-2931
Mailing Address - Country:US
Mailing Address - Phone:406-350-2086
Mailing Address - Fax:
Practice Address - Street 1:515 W JANEAUX ST
Practice Address - Street 2:
Practice Address - City:LEWISTOWN
Practice Address - State:MT
Practice Address - Zip Code:59457-2931
Practice Address - Country:US
Practice Address - Phone:406-350-2086
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-01
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTPTP-PT-LIC-9240225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist