Provider Demographics
NPI:1336347897
Name:PAUL WILLIAM STOKES
Entity Type:Organization
Organization Name:PAUL WILLIAM STOKES
Other - Org Name:STOKES SPORTS, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER PHYSICAL THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:HARTWIG STOKES
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:608-235-5527
Mailing Address - Street 1:215 S CENTURY AVE
Mailing Address - Street 2:320
Mailing Address - City:WAUNAKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53597-1249
Mailing Address - Country:US
Mailing Address - Phone:608-235-5527
Mailing Address - Fax:608-237-6887
Practice Address - Street 1:217 S CENTURY AVE
Practice Address - Street 2:
Practice Address - City:WAUNAKEE
Practice Address - State:WI
Practice Address - Zip Code:53597-1249
Practice Address - Country:US
Practice Address - Phone:608-235-5527
Practice Address - Fax:608-237-6887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-06
Last Update Date:2007-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI97410242251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty