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

STACY MACK, PTA

Active

STACY MACK, PTA is a Occupational Therapist healthcare provider located in EAST LIBERTY, Ohio. NPI 1205035789 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · EAST LIBERTY, OH

Registration Details

NPI Number
1205035789
Provider Type
Individual
Gender
Female
NPI Issued
Jul 13, 2007 (19.083108161585 yrs)
Last Updated
Jul 13, 2007
License
PTA 05127 (OH)

Practice Information

Address
11000 STATE ROUTE 347
EAST LIBERTY, OH, 433199470
Browse OH providers · Browse ZIP 43319
Phone
9375780598
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in EAST LIBERTY, OH

Name Credential NPI
RACHEL BARLOW PTA 1487852257
JAYME HOPKINS PTA 1184823734
MARY SHAPPELL PTA 1619176096
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.