| Mr Kenneth P Stack, PT,MS,CSCS | |
|
115 S Saint Marys St, Suite A, Raleigh, NC 27603-1785 | |
| (800) 362-0903 | |
| (866) 434-5096 |
| Full Name | Mr Kenneth P Stack |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 115 S Saint Marys St, Raleigh, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346230489 | NPI | - | NPPES |
| 11337022 | Other | CAQH | |
| 7212592 | Medicaid | NC | |
| 078V4 | Other | NC | BCBS |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kenneth P Stack, PT,MS,CSCS 1640 Eva Mae Dr, Raleigh, NC 27610-4443 Ph: (800) 362-0903 | Mr Kenneth P Stack, PT,MS,CSCS 115 S Saint Marys St, Suite A, Raleigh, NC 27603-1785 Ph: (800) 362-0903 |
Nextcare Inc Sole Mbr Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4100 Wake Forest Rd, Raleigh, NC 27609 Phone: 919-872-3403 Fax: 919-872-6066 | |
Ms. Megan Sean Hardisty, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4201 Lake Boone Trail Suite 4, Raleigh, NC 27607 Phone: 919-968-3456 Fax: 919-932-3456 | |
Kimberly Briggs Mann, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5920 Sandy Forks Rd Ste 200, Raleigh, NC 27609 Phone: 919-954-3492 | |
Optimum Rehab & Sports Training, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6405 Westgate Rd, Suite 105, Raleigh, NC 27617 Phone: 919-508-6835 | |
Shawn Ryan Moody, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3100 Duraleigh Rd Ste 100, Raleigh, NC 27612 Phone: 919-788-8797 Fax: 919-788-8798 | |
Courtney Fletcher, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8300 Health Park, Suite 127, Raleigh, NC 27615 Phone: 919-854-6160 Fax: 919-854-6188 | |
Kaitlin Anne Meekins, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 8470 Falls Of Neuse Rd, Suite 106, Raleigh, NC 27615 Phone: 919-803-0738 |