Individual provider · Type 1 NPI

Tara Mack, PTA

Physical Therapy Assistant · Louisville, KY

NPI number 1770977928 Active

Practice location

2701 Chestnut Station Ct
Louisville, KY 40299-6395

Call (800) 335-1060 Map

Mailing address

501 N Broadway St
Union City, MI 49094-1146

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X5502004267 (MI)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1770977928

Tara Mack, PTA's National Provider Identifier is 1770977928, issued on Mar 26, 2015. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Louisville, KY. The record was last updated on Mar 26, 2015.