Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Stephanie Marie Rudisill, OTR

Individual provider Occupational Therapist · NPI 1063633964

Mrs. Stephanie Marie Rudisill, OTR is an Occupational Therapist in Park City, Utah. Licensed in Texas. Registered with an NPI since 2007.

Licensed in
TX
In the registry since
2007
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

1640 Redstone Center Dr Ste 200
Park City, UT 84098-7605
Phone: (214) 575-9820
Fax: (214) 575-9846
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 109688 (TX)

Record details

NPI number1063633964
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR
Sole proprietorNo
NPI enumeratedMay 1, 2007
Last updated in NPPESJuly 8, 2007

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