| Doctor Name: | MATTHEW STACY |
| NPI Number: | 1063593010 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSPT |
| License Number: | PT1782 |
| Business Practice Address: | 9601 I 630 Exit 7 Baptist Health Rehab Institute Little Rock, AR - 722057299 |
| Business Phone Number: | 5012027589 |
| Business Fax Number: | 5012027141 |
| Mailing Address: | 1914 U Street, BENTON |
| State: | AR |
| Postal Code: | 72015 |
| Phone Number: | 5015809131 |
| Fax Number: | |
| NPI Enumeration Date: | 10/18/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT1782 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |