| Stacy Elaine Mattox, OTR | |
|
1807 W Moline St, Malvern, AR 72104-2645 | |
| (501) 467-3166 | |
| (501) 467-3161 |
| Full Name | Stacy Elaine Mattox |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 1807 W Moline St, Malvern, Arkansas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801947510 | NPI | - | NPPES |
| 136251721 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OTR1458 (Arkansas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Stacy Elaine Mattox, OTR 913 River St, Benton, AR 72015-5024 Ph: (501) 240-9867 | Stacy Elaine Mattox, OTR 1807 W Moline St, Malvern, AR 72104-2645 Ph: (501) 467-3166 |
Ms. Kera Beth Addison, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1625 S Main St, Malvern, AR 72104 Phone: 501-332-1818 | |
Mrs. Kristy Deann Hudgens, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1425 Potts St, Malvern, AR 72104 Phone: 501-337-7586 | |
Amanda Furr, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1625 S Main St, Malvern, AR 72104 Phone: 501-337-7622 | |
Julie Chrystina Newton, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1625 S Main St, Malvern, AR 72104 Phone: 501-332-1816 | |
Amy Elizabeth Whitworth, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1425 Potts St, Malvern, AR 72104 Phone: 501-337-7586 |