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

CARL DAWES MACK, PTA

Active Sole Proprietor

CARL DAWES MACK, PTA is a Occupational Therapist healthcare provider located in GILBERTSVILLE, Kentucky. NPI 1881841401 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · GILBERTSVILLE, KY

Registration Details

NPI Number
1881841401
Provider Type
Individual
Gender
Male
NPI Issued
Aug 26, 2008 (17.936733510566 yrs)
Last Updated
Aug 26, 2008
License
A00108 (KY)
Sole Proprietor
Yes

Practice Information

Address
17 AFHEA LN
GILBERTSVILLE, KY, 420448806
Browse KY providers · Browse ZIP 42044
Phone
2703625004
Primary Specialty
Occupational Therapist
225200000X
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.