Organization
S.T.A.C.K. PHYSICAL THERAPY & CORRECTIVE EXERCISE, INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH P. STACK M.S.,P.T.,C.S.C.S. (PRESIDENT)
18003620903
Entity
Organization
Contact information
Practice address
1640 EVA MAE DR, RALEIGH, NC 27610-4443
(800) 362-0903
(866) 434-5096
Mailing address
1640 EVA MAE DR, RALEIGH, NC 27610-4443
(800) 362-0903
(866) 434-5096
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
8899
NC
Other
Enumeration date
08/21/2007
Last updated
10/19/2009
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