MR. KENNETH STACK, PT,MS,CSCS

Physical Therapist

Active Individual
NPI: 1346230489

Practice Address

115 S SAINT MARYS ST
SUITE A
Raleigh, NC 27603

Phone: (800) 362-0903

Specialties

Specialty Code Primary License
Physical Therapist 225100000X Yes 8899 (NC)
Physical Therapist - Geriatrics 2251G0304X No 8899 (NC)
Physical Therapist - Sports 2251S0007X No 8899 (NC)
Physical Therapist - Orthopedic 2251X0800X No 8899 (NC)

Frequently Asked Questions

NPI 1346230489 is the National Provider Identifier for MR. KENNETH STACK, PT,MS,CSCS, a Physical Therapist provider located in Raleigh, NC. This NPI was enumerated on October 27, 2005.
MR. KENNETH STACK, PT,MS,CSCS practices at 115 S SAINT MARYS ST, SUITE A, Raleigh, NC 27603.

Quick Facts

NPI
1346230489
Type
Individual
Enumerated
Oct 27, 2005
Last Updated
Mar 27, 2010

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