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

Stacey Fairman

Individual provider Occupational Therapist · NPI 1720717283

Stacey Fairman is an Occupational Therapist in Plymouth, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2022

Practice location Address checks out

46200 Port St
Plymouth, MI 48170-6048
Phone: (734) 454-0866
Show map & directions

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

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 5201005468 (MI)

Record details

NPI number1720717283
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 8, 2022
Last updated in NPPESJune 8, 2022
Certification dateJune 8, 2022

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