1346230489 Mr. Kenneth P Stack, PT,MS,CSCS
Physical Therapist
Active
Basic Information
- Full Name
- Mr. Kenneth P Stack, PT,MS,CSCS
- Gender
- Male
- Enumeration Date
- October 27, 2005
- Last Update
- March 27, 2010
Practice Location
- Address
- 115 S SAINT MARYS ST
SUITE A
RALEIGH, NC 276031785 - Phone
- (800) 362-0903
- Fax
- (866) 434-5096
Mailing Address
- Address
- 1640 EVA MAE DR
RALEIGH, NC 276104443 - Phone
- (800) 362-0903
- Fax
- (866) 434-5096
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Physical Therapist | 225100000X | Physical Therapist | 8899 | NC | Primary |
| Geriatric Physical Therapist Geriatrics | 2251G0304X | Physical Therapist | 8899 | NC | No |
| Sports Physical Therapist Sports | 2251S0007X | Physical Therapist | 8899 | NC | No |
| Orthopedic Physical Therapist Orthopedic | 2251X0800X | Physical Therapist | 8899 | NC | No |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11337022 | 01 | N/A | CAQH |
| 7212592 | 05 | NC | N/A |
| 078V4 | 01 | NC | BCBS |
Frequently Asked Questions
What is Mr. Kenneth P Stack, PT,MS,CSCS's NPI number?
Mr. Kenneth P Stack, PT,MS,CSCS's NPI number is 1346230489.
Which doctor has NPI number 1346230489?
The doctor with NPI number 1346230489 is Mr. Kenneth P Stack, PT,MS,CSCS.
What is Mr. Kenneth P Stack, PT,MS,CSCS's practice address?
Mr. Kenneth P Stack, PT,MS,CSCS's practice address is 115 S SAINT MARYS ST, SUITE A, RALEIGH, NC, 276031785.
Which doctor practices at 115 S SAINT MARYS ST, SUITE A, RALEIGH, NC, 276031785?
Mr. Kenneth P Stack, PT,MS,CSCS practices at 115 S SAINT MARYS ST, SUITE A, RALEIGH, NC, 276031785.
What is Mr. Kenneth P Stack, PT,MS,CSCS's mailing address?
Mr. Kenneth P Stack, PT,MS,CSCS's mailing address is 1640 EVA MAE DR, RALEIGH, NC, 276104443.
What is Mr. Kenneth P Stack, PT,MS,CSCS's phone number?
Mr. Kenneth P Stack, PT,MS,CSCS's phone number is (800) 362-0903.
Who is (800) 362-0903?
(800) 362-0903 is the phone number for Mr. Kenneth P Stack, PT,MS,CSCS.
What is Mr. Kenneth P Stack, PT,MS,CSCS's specialty?
Mr. Kenneth P Stack, PT,MS,CSCS's specialty is Physical Therapist.
What type of doctor is Mr. Kenneth P Stack, PT,MS,CSCS?
Mr. Kenneth P Stack, PT,MS,CSCS is a Physical Therapist.
Is Mr. Kenneth P Stack, PT,MS,CSCS a Physical Therapist?
Yes, Mr. Kenneth P Stack, PT,MS,CSCS is a Physical Therapist.
Is Mr. Kenneth P Stack, PT,MS,CSCS still practicing?
Yes, Mr. Kenneth P Stack, PT,MS,CSCS is currently practicing.
Is Mr. Kenneth P Stack, PT,MS,CSCS accepting new patients?
Mr. Kenneth P Stack, PT,MS,CSCS may be accepting new patients. Please call their office at (800) 362-0903 to inquire about availability.
Is NPI 1346230489 still active?
Yes, NPI 1346230489 is currently active.
Where does Mr. Kenneth P Stack, PT,MS,CSCS practice?
Mr. Kenneth P Stack, PT,MS,CSCS practices in RALEIGH, NC.
Is Mr. Kenneth P Stack, PT,MS,CSCS a male or female doctor?
Mr. Kenneth P Stack, PT,MS,CSCS is a male doctor.