SCOTT STACK

Physical Therapy Assistant

Active Individual
NPI: 1558118992

Practice Address

12216 S AVERS AVE
Alsip, IL 60803

Phone: (708) 702-0172

Specialties

Specialty Code Primary License
Physical Therapy Assistant 225200000X Yes 160.007136 (IL)

Frequently Asked Questions

NPI 1558118992 is the National Provider Identifier for SCOTT STACK, a Physical Therapy Assistant provider located in Alsip, IL. This NPI was enumerated on May 3, 2024.
SCOTT STACK practices at 12216 S AVERS AVE, Alsip, IL 60803.

Quick Facts

NPI
1558118992
Type
Individual
Enumerated
May 3, 2024
Last Updated
Mar 3, 2025

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