KEN MACK, PTA
Physical Therapy Assistant
Active
Individual
NPI: 1083926158
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Therapy Assistant | 225200000X | Yes | 06003673 (IN) |
Frequently Asked Questions
NPI 1083926158 is the National Provider Identifier for KEN MACK, PTA, a Physical Therapy Assistant provider located in South Bend, IN. This NPI was enumerated on July 6, 2010.
KEN MACK, PTA practices at 1005 N HICKORY RD, South Bend, IN 46615.
Quick Facts
- NPI
- 1083926158
- Type
- Individual
- Enumerated
- Jul 6, 2010
- Last Updated
- Jul 6, 2010
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