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CANDACE HOLLY MACK OTR/L
NPI 1114204849
Specialist in Winters, CA

Active since November 09, 2011
428 MAIN ST, WINTERS, CA 95694(530) 794-6083 Get Directions Write a Review

NPPES record last updated: November 9, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Candace Holly Mack Otr/l NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CANDACE HOLLY MACK OTR/L (NPI 1114204849) is an individual specialist in Winters, California, licensed in California (12045) and active in the NPI registry since November 2011.

NPPES Registry Identity

NPI1114204849
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameCANDACE HOLLY MACKCredential: OTR/L
Location Address428 MAIN STWinters, CA 95694-1830
Mailing Address428 Main StWinters, CA 95694-1830 · (530) 794-6083
Phone(530) 794-6083
Sole ProprietorYes
Enumeration DateNovember 9, 2011
✔ NPI 1114204849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · 12045
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedEarly Intervention Provider AgencyTaxonomy 252Y00000X · License 12045 (CA)
428 MAIN ST, Winters, CA 95694
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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 Candace Mack's NPI number?

The NPI number for Candace Mack is 1114204849. It was assigned to this individual provider in the NPPES registry on November 9, 2011.

Where is Candace Mack located?

Candace Mack practices at 428 Main St, Winters, CA 95694. The listed phone number is (530) 794-6083.

What is Candace Mack's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Candace Mack was last updated on November 9, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.