Stacey Michele Phillips
Physical Therapist - Pediatrics
46 W Colt Square Dr
Fayetteville
, Arkansas 72703-2813
Stacey Michele Phillips
Physical Therapist - Pediatrics
46 W Colt Square Dr
Fayetteville
, Arkansas 72703-2813
(479) 582-2746
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About
Features
Specialties
- Physical Therapist - Pediatrics
Languages spoken
- English
Location
First Address
- Stacey Michele Phillips
- 46 W Colt Square Dr
- Fayetteville, AR
- Zip : 72703-2813
- Fax : (479) 582-2746
- Phone : (479) 582-2740
Second Address
- Stacey Michele Phillips
- 46 W Colt Square Dr
- Fayetteville, AR
- Zip : 72703-2813
- Fax : (479) 582-2746
- Phone : (479) 582-2740
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FAQs
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What type of doctor is Stacey Michele Phillips
In what state does Stacey Michele Phillips practice in?
Where is Stacey Michele Phillips ’s practice located?
What is Stacey Michele Phillips ’s gender?
Is Stacey Michele Phillips a sole practitioner?
Is Stacey Michele Phillips accepting new patients?
What languages does Stacey Michele Phillips speak?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251P0200X | Physical Therapist - Pediatrics | PT 2212 | AR |
National Provider Identifier
| NPI | 1053558494 |
|---|---|
| Provider Name | Stacey Michele Phillips |
| First Address | Fayetteville, AR 72703-2813 |
| Second Address | Fayetteville, AR 72703-2813 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/01/2009 |
| Last Update Date | 07/01/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 135927721 | (05) | AR |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.