Individual provider · Type 1 NPI

Stacie Lynn Phillips, OTRL

Occupational Therapist · Benton, AR

NPI number 1912968793 Active

Practice location

17706 I-30, Suite 3
Benton, AR 72015

Fax (501) 315-3467

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XOTR1453 (AR)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1912968793

Stacie Lynn Phillips, OTRL's National Provider Identifier is 1912968793, issued on Mar 31, 2006. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Benton, AR. The record was last updated on Jul 13, 2026.