Individual
JARROD MACAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
9200 CALUMET AVE, SUITE N-502, MUNSTER, IN 46321-2885
(219) 853-4633
Mailing address
8259 WICKER AVE, SAINT JOHN, IN 46373-8878
(219) 365-6560
(219) 365-6561
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05011961A
IN
Other
Enumeration date
11/11/2015
Last updated
11/11/2015
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