Individual
SHERRI MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1130 N MARGARET ST, MARKESAN RESIDENT HOME, MARKESAN, WI 53946
(920) 398-2751
Mailing address
237 PEARL ST, KINGSTON, WI 53939-0004
(920) 394-2041
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
385019
WI
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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