KEN MACK PTA
NPI 1083926158
Physical Therapy Assistant in South Bend, IN
About Ken Mack Pta NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEN MACK PTA (NPI 1083926158) is an individual physical therapy assistant in South Bend, Indiana, licensed in Indiana (06003673) and active in the NPI registry since July 2010.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ken Mack's NPI number?
The NPI number for Ken Mack is 1083926158. It was assigned to this individual provider in the NPPES registry on July 6, 2010.
Where is Ken Mack located?
Ken Mack practices at 1005 N Hickory Rd, South Bend, IN 46615. The listed phone number is (574) 233-5754.
What is Ken Mack's specialty?
The primary specialty registered for this NPI is Physical Therapy Assistant with taxonomy code 225200000X.
When was this NPI record last updated?
The NPPES record for Ken Mack was last updated on July 6, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.