Individual provider · Type 1 NPI

Kenneth P. Stack, PT, MS, CSCS

Physical Therapist · Raleigh, NC

NPI number 1346230489 Active

Practice location

115 S Saint Marys St, Suite A
Raleigh, NC 27603-1785

Call (800) 362-0903 Map

Fax (866) 434-5096

Mailing address

1640 Eva Mae Dr
Raleigh, NC 27610-4443

Specialties and licenses

Taxonomy	Code	License
Physical Therapist Primary	225100000X	8899 (NC)
Geriatric Physical Therapist	2251G0304X	8899 (NC)
Sports Physical Therapist	2251S0007X	8899 (NC)
Orthopedic Physical Therapist	2251X0800X	8899 (NC)

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 1346230489

Kenneth P. Stack, PT, MS, CSCS's National Provider Identifier is 1346230489, issued on Oct 27, 2005. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Raleigh, NC. The record was last updated on Mar 27, 2010.