Susan M Mack PT

NPI 1750490538 - Physical Therapist - 225100000X

NPI Details
NPI 1750490538
Gender Female
Enumeration Date 08/29/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1830 112TH ST E
STE D
TACOMA WA, 98445-3747, US
Phone (253) 548-8400
Fax (253) 537-3150
Business Location
4227 INDIAN SUMMER DR SE
OLYMPIA WA, 98513-4770, US
Phone (360) 456-1945
Fax
Toxanomy
Taxonomy Code 225100000X
License State Washington
License Number PT00006329
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According to our database, Susan M Mack PT NPI is 1750490538, taxonomy code is 225100000X and license number is PT00006329, license state is located at Washington. Susan M Mack PT physically located at 1830 112th St E, Tacoma WA, 98445-3747. NPI Number Susan M Mack PT has the Individual type.

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1750490538 NPI number is provided on an as is basis without warranty of any kind. 1750490538 is maintained by the National Plan & Provider Enumeration System. The contents of Susan M Mack PT are for informational purposes only.