Search › North Carolina › 225100000X
Kenneth Stack, PT,MS,CSCS
NPI 1346230489 · on the registry since 2005
Practice
- Address
- 115 S Saint Marys St
Suite A
Raleigh, NC 27603 - Phone
- (800) 362-0903
- Fax
- (866) 434-5096
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Also registered as
- 2251G0304X
2251S0007X
2251X0800X - Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-03-27
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 North Carolina