Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY MACK, PTA
Active Sole ProprietorKELLY MACK, PTA is a Occupational Therapist healthcare provider located in MARICOPA, Arizona. NPI 1972933646 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · MARICOPA, AZ
Registration Details
- NPI Number
- 1972933646
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 17, 2013 (12.733778706701 yrs)
- Last Updated
- Nov 17, 2013
- License
-
10553A (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
44480 W HONEYCUTT RD#106MARICOPA, AZ, 851382903Browse AZ providers · Browse ZIP 85138
- Phone
- 5205820142
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in MARICOPA, AZ
| Name | Credential | NPI |
|---|---|---|
| MATTHEW ALAN KAUL | PTA | 1225835838 |
| AMY MAGOON | — | 1174414080 |
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.