Mack, Tina

Mack, Tina is an individual health care provider with primary practice located at 331 S Water St , Sparta WI 54656-1726. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Mack, Tina can be contacted via phone (608) 366-6239.

Contact Information

Primary practice address
331 S Water St Sparta WI 54656-1726
Fax:
Website:

Health care specialties

Profile Details

NPI number 1588021281
LBN Legal business name Mack, Tina
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2016
Last updated Jan 26th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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