According to our database, the NPI number for Ken Mack PTA is 1083926158 and activated since 13 years ago. Ken Mack PTA is an individual provider who specializes in Physical Therapy Assistant, and the primary practice location is 1005 N Hickory Rd, South Bend, IN 46615. You can also contact Ken Mack PTA via telephone number is (574) 233-5754. Provider NPI information was last updated on 07/06/2010.

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Overview of Ken Mack PTA

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 07/06/2010
  • Last updated: 07/06/2010

Primary Scrop of Practice

  • Taxonomy Code: 225200000X
  • Specialty: Physical Therapy Assistant
  • License Number: 06003673
  • License State: IN

Provider Mailing Address

  • Address: 1005 N Hickory Rd
    South Bend, IN 46615
  • Phone: 574-233-5754
  • Fax: 574-233-7406

Provider Practice Location

  • Address: 1005 N Hickory Rd
    South Bend, IN 46615
  • Phone: 574-233-5754
  • Fax: 574-233-7406

Scope of Practice

  • Taxonomy Code: 225200000X
  • Specialty: Physical Therapy Assistant
  • License Number: 06003673
  • License State: IN
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 100351040
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: IN
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Ken Mack PTA?
  • A: The npi number for Ken Mack PTA is 1083926158.
  • Q: What are Ken Mack PTA's specialties?
  • A: Ken Mack PTA's specialties are Physical Therapy Assistant and different specialities.
  • Q: What is the medical license for Ken Mack PTA?
  • A: The medical license number for Ken Mack PTA is 06003673 and issued in IN in USA.
  • Q: Where is Ken Mack PTA practice location?
  • A: Ken Mack PTA is practicing at 1005 N Hickory Rd, South Bend, IN 46615.
  • Q: How to contact Ken Mack PTA?
  • A: You can contact Ken Mack PTA via 574-233-5754.