| Mark A Stack, PT | |
|
1043 Makawao Ave, Suite 107, Makawao, HI 96768-9465 | |
| (808) 572-7790 | |
| (808) 573-4721 |
| Full Name | Mark A Stack |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1043 Makawao Ave, Makawao, Hawaii |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962467746 | NPI | - | NPPES |
| 1866663 | Other | HI | UHA |
| 24461708 | Medicaid | HI | |
| 24461709 | Medicaid | HI | |
| 194058 | Other | HI | HMN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT-1242 (Hawaii) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mark A Stack, PT 1043 Makawao Ave, Suite 107, Makawao, HI 96768-9465 Ph: (808) 572-7790 | Mark A Stack, PT 1043 Makawao Ave, Suite 107, Makawao, HI 96768-9465 Ph: (808) 572-7790 |
Mr. Jonathan Mead Raymond, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 40 Kupaoa St # B-201, Makawao, HI 96768 Phone: 808-872-0077 Fax: 808-872-0177 | |
Suzanne Michelle Nagy, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 87 Hoolai Drive, Makawao, Makawao, HI 96768 Phone: 808-281-4556 | |
Jordan Butay, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 81 Makawao Ave Ste 110, Makawao, HI 96768 Phone: 808-572-2281 Fax: 808-573-5869 | |
Optimal Physical Therapy,llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 87 Hoolai St, Makawao, HI 96768 Phone: 808-281-4556 Fax: 808-572-0113 | |
Physical Therapy At Pukalani, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 81 Makawao Ave Ste 110, Makawao, HI 96768 Phone: 808-572-2281 Fax: 808-573-5869 | |
Dr. Abel Corona, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 81 Makawao Ave Ste 110, Makawao, HI 96768 Phone: 808-572-2281 Fax: 808-573-5869 | |
Sheryl L Carter, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 81 Makawao Ave, Suite 110, Makawao, HI 96768 Phone: 808-572-2281 |