DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STACEY NICOLE MEYER, OTR/L

Active Sole Proprietor

Occupational Therapist · BREESE, IL

Registration Details

NPI Number
1275693905
Provider Type
Individual
Gender
Female
NPI Issued
Dec 11, 2006 (19.400242871509 yrs)
Last Updated
Dec 10, 2019
Licenses
1999137812 (MO)
056.006039 (IL)
Sole Proprietor
Yes

Practice Information

Address
8089 NORTHLAND DR
BREESE, IL, 622302547
Browse IL providers · Browse ZIP 62230
Phone
6188306413
Fax
6185268140
Primary Specialty
Occupational Therapist
225X00000X
Additional Specialty
Developmental Therapist
Additional Specialty
Occupational Therapist

Other Occupational Therapist Providers in BREESE, IL

Name Credential NPI
TONYA GAIL TROXELL OTR/L, CLT 1184146433
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.