SearchCalifornia171100000X

Mistie Pack, L.AC

NPI 1871006114 · on the registry since 2017

Practice

Address
2116 E Orangeburg Ave Ste D
Modesto, CA 95355
Phone
(209) 281-4441
Organisation at this address
Lumira Healthcare
Athletic & Industrial Rehabilitatn Physical Therapy Inc A Prof Corp
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
171100000X
171100000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-11-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California