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

MR. KENNETH P STACK, PT,MS,CSCS

Active

MR. KENNETH P STACK, PT,MS,CSCS is a Physical Therapy Assistant healthcare provider located in RALEIGH, North Carolina. NPI 1346230489 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · RALEIGH, NC

Registration Details

NPI Number
1346230489
Provider Type
Individual
Gender
Male
NPI Issued
Oct 27, 2005 (20.612387126559 yrs)
Last Updated
Mar 27, 2010
Licenses
8899 (NC)
8899 (NC)
8899 (NC)
8899 (NC)

Practice Information

Address
115 S SAINT MARYS ST
SUITE A
RALEIGH, NC, 276031785
Browse NC providers · Browse ZIP 27603
Phone
8003620903
Fax
8664345096
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Hand Therapy

Other Physical Therapy Assistant Providers in RALEIGH, NC

Name Credential NPI
MRS. CATHERINE E TOWNSEND PT 1164424271
POLLY MARIE NELSON P.T. 1245225432
JOHN PAUL QUINN PT, DPT 1528044013
MR. DOUGLAS JOSEPH HOLCZER PT 1003892365
MRS. MICHELLE D BEVIL PT, DPT 1669452876
JENNIFER N SPERI PT 1912977919
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.