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

Stacey Ellice Reynolds, OTRL

Individual provider Pediatric Occupational Therapist · NPI 1578601415

Stacey Ellice Reynolds, OTRL is a Pediatric Occupational Therapist in Manakin Sabot, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2007

Practice location Address checks out

40 Broad Street Rd
Manakin Sabot, VA 23103-2213
Phone: (804) 784-3514
Fax: (804) 784-4514
Show map & directions

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

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence 0119004113 (VA)

Record details

NPI number1578601415
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTRL
Sole proprietorYes
NPI enumeratedFebruary 2, 2007
Last updated in NPPESJuly 8, 2007

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