STACY MACK, PTA

Physical Therapy Assistant

Active Individual
NPI: 1205035789

Practice Address

11000 STATE ROUTE 347
East Liberty, OH 43319

Phone: (937) 578-0598

Specialties

Specialty Code Primary License
Physical Therapy Assistant 225200000X Yes PTA 05127 (OH)

Frequently Asked Questions

NPI 1205035789 is the National Provider Identifier for STACY MACK, PTA, a Physical Therapy Assistant provider located in East Liberty, OH. This NPI was enumerated on July 13, 2007.
STACY MACK, PTA practices at 11000 STATE ROUTE 347, East Liberty, OH 43319.

Quick Facts

NPI
1205035789
Type
Individual
Enumerated
Jul 13, 2007
Last Updated
Jul 13, 2007

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