Individual provider · Type 1 NPI

Mackenzie Stack, PT

Physical Therapist · Yulee, FL

NPI number 1023640646 Active

Practice location

463721 State Road 200 Ste 7
Yulee, FL 32097-8661

Mailing address

3901 University Blvd S
Jacksonville, FL 32216-4312

Other practice locations

  • 4800 First Coast Hwy Ste 240, Fernandina Beach, FL 32034-5598 · (904) 321-5491

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000XNone listed

Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…

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About NPI 1023640646

Mackenzie Stack, PT's National Provider Identifier is 1023640646, issued on Feb 11, 2020. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Yulee, FL. The record was last updated on Oct 1, 2026.