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Carl Mack, PTA
NPI 1881841401 · on the registry since 2008 · sole proprietor
Practice
- Address
- 17 Afhea Ln
Gilbertsville, KY 42044 - Phone
- (270) 362-5004
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- KY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-08-26
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 Kentucky