Individual provider · Type 1 NPI

Stacey Michele Phillips, MS, PT

Pediatric Physical Therapist · Fayetteville, AR

NPI number 1053558494 Active

Practice location

46 W Colt Square Dr
Fayetteville, AR 72703-2813

Call (479) 582-2740 Map

Fax (479) 582-2746

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200XPT 2212 (AR)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

4 other providers at this address

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About NPI 1053558494

Stacey Michele Phillips, MS, PT's National Provider Identifier is 1053558494, issued on Jan 7, 2009. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Fayetteville, AR. The record was last updated on Jan 7, 2009.