Scott Stack

NPI #1558118992 in Alsip, Illinois

Provider Information

NPI Number: 1558118992
Entity Type: Individual
Name: Scott Stack
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: May 3, 2024
Last Updated: Mar 3, 2025

Practice Location

Address: 12216 S AVERS AVE
City: Alsip
State: Illinois
ZIP Code: 60803-1302
Phone: (708) 702-0172

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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