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

MARK A STACK, PT

Active

MARK A STACK, PT is a Physical Therapy Assistant healthcare provider located in MAKAWAO, Hawaii. NPI 1962467746 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · MAKAWAO, HI

Registration Details

NPI Number
1962467746
Provider Type
Individual
Gender
Male
NPI Issued
Apr 17, 2006 (20.284098684843 yrs)
Last Updated
Jul 8, 2007
License
PT-1242 (HI)

Practice Information

Address
1043 MAKAWAO AVE
SUITE 107
MAKAWAO, HI, 967689465
Browse HI providers · Browse ZIP 96768
Phone
8085727790
Fax
8085734721
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in MAKAWAO, HI

Name Credential NPI
MR. JONATHAN MEAD RAYMOND MSPT 1023095890
MR. ALAN D. NITAKE P.T. 1790729606
MR. ERIC EDWARD ERSSON PT PHYSICAL THERAPIS 1255495180
MR. DAVID ARNOLD YANAGIHARA P.T. 1871624825
SUZANNE MICHELLE NAGY PT 1033230891
JEANA IWALANI NALUAI P.T. 1265661094
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.