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

Individual provider Pediatric Physical Therapist · NPI 1053558494

Stacey Michele Phillips, MS, PT is a Pediatric Physical Therapist in Fayetteville, Arkansas. Licensed in Arkansas. Registered with an NPI since 2009.

Licensed in
AR
In the registry since
2009
What do these letters mean?
MS — Master of Science
A graduate science degree.
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

46 W Colt Square Dr
Fayetteville, AR 72703-2813
Phone: (479) 582-2740
Fax: (479) 582-2746
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Physical Therapist (primary) Taxonomy 2251P0200X · Licence PT 2212 (AR)

Record details

NPI number1053558494
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , PT
Sole proprietorNo
NPI enumeratedJanuary 7, 2009
Last updated in NPPESJanuary 7, 2009

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