Mark A Stack, PT

NPI #1962467746 in Makawao, Hawaii

Provider Information

NPI Number: 1962467746
Entity Type: Individual
Name: Mark A Stack, PT
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Apr 17, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1043 MAKAWAO AVE
Address 2: SUITE 107
City: Makawao
State: Hawaii
ZIP Code: 96768-9465
Phone: (808) 572-7790

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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