Individual
DR. GARRETT RAYMOND MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
18924 EVANS ST, SUITE 105, ELKHORN, NE 68022
(531) 999-3842
Mailing address
18924 EVANS ST., SUITE 105, ELKHORN, NE 68022
(531) 466-8611
(531) 999-3842
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2019
NE
111N00000X
Chiropractor
8225
AZ
Other
Enumeration date
10/20/2011
Last updated
10/14/2019
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