Individual
STEPHANIE LOCKINGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5171 S COTTONWOOD ST STE 630, MURRAY, UT 84107-5704
(801) 507-3967
Mailing address
5045 COMSTOCK CIR, FORT WORTH, TX 76244-6798
(817) 602-0639
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11225890-2401
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11225890-2401
PHYSICAL THERAPY LICENSE
UT
Enumeration date
04/26/2019
Last updated
04/26/2019
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