Individual
MICHAEL JEFFREY STOCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15614 MERIDIAN E STE 100, PUYALLUP, WA 98375-5100
(253) 840-5511
Mailing address
10115 LITTLE MOUNTAIN RD, MENTOR, OH 44060-8200
(440) 667-8387
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA013208
OH
Other
Enumeration date
05/21/2025
Last updated
05/21/2025
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