Niccole J Mack, D.P.T.

NPI #1063401503 in Watertown, South Dakota

Provider Information

NPI Number: 1063401503
Entity Type: Individual
Name: Niccole J Mack, D.P.T.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: D.P.T.
Enumeration Date: Oct 18, 2005
Last Updated: Nov 5, 2013

Practice Location

Address: 901 4TH ST NW
City: Watertown
State: South Dakota
ZIP Code: 57201-1558
Phone: (605) 886-8471

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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