Provider Demographics
NPI:1982493227
Name:STOKES, SARAH JANE (MT 30521)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:JANE
Last Name:STOKES
Suffix:
Gender:
Credentials:MT 30521
Other - Prefix:
Other - First Name:SARAHA
Other - Middle Name:JANE
Other - Last Name:STOKES-GERARD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MT30521
Mailing Address - Street 1:36 E LOS ARCOS
Mailing Address - Street 2:
Mailing Address - City:GREEN VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85614-2427
Mailing Address - Country:US
Mailing Address - Phone:530-307-9956
Mailing Address - Fax:
Practice Address - Street 1:36 E LOS ARCOS
Practice Address - Street 2:
Practice Address - City:GREEN VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85614-2427
Practice Address - Country:US
Practice Address - Phone:530-307-9956
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-02
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ30521225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist