Individual
TIMOTHY G MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
800 S 50TH ST STE 103, WEST DES MOINES, IA 50265-5382
(515) 226-1616
Mailing address
600 OAKMONT LN STE 600C, WESTMONT, IL 60559-5548
(630) 590-4029
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
090249
IA
Other
Enumeration date
02/01/2018
Last updated
02/18/2019
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