person
Stacey Michele Phillips, MS,PT
Pediatric Physical Therapist in Fayetteville, Arkansas
NPI 1053558494

Stacey Michele Phillips is a Pediatric Physical Therapist based in Fayetteville, AR and is specialized in Pediatrics. Stacey Michele Phillips practices in Fayetteville, AR and has the professional credentials of MS,PT. The NPI Number for Stacey Michele Phillips is 1053558494 and holds a License No. PT 2212 (Arkansas).

The current practice location address for Stacey Michele Phillips is 46 W Colt Square Dr, Fayetteville, AR and can be reached out via phone at 479-582-2740 and via fax at 479-582-2746. You can also correspond with Stacey Michele Phillips through the mailing address at 46 W COLT SQUARE DR, FAYETTEVILLE, AR - 72703-2813 (mailing address contact number: 479-582-2740).

Location: 46 W Colt Square Dr, Fayetteville, AR, 72703-2813
person
Provider Profile Details
NPI Number
1053558494
Provider Name
Stacey Michele Phillips
Credential
MS,PT
Provider Entity Type
Individual
Gender
Female
Address
46 W Colt Square Dr, Fayetteville, AR, 72703-2813
Phone Number
479-582-2740
Fax Number
479-582-2746
Provider Enumeration Date
01/07/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
135927721 05 AR
institution
Provider Business Practice Location Address Details
Address
46 W Colt Square Dr
City
State
Zip
72703-2813
Phone Number
479-582-2740
Fax Number
479-582-2746
person
Provider Business Mailing Address Details
Address
46 W Colt Square Dr
City
State
Zip
72703-2813
Phone Number
479-582-2740
Fax Number
479-582-2746
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Pediatrics
Taxonomy
License No.
PT 2212 (Arkansas)
Definition
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 therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
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