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Search › Arizona › Physical Therapy Assistant

Kelly Mack, PTA

NPI 1972933646 · on the registry since 2013 · sole proprietor

Practice

Address
44480 W Honeycutt Rd
#106
Maricopa, AZ 85138
Phone
(520) 582-0142
Organisation at this address
Mfdo
Dd Llc
Jared Pope Dds Plc
Enchanted Sky Family Psychiatry, Pllc
Maricopa Family Dentistry & Orthodontics
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
Physical Therapy Assistant
225200000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-11-17

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 Arizona