RAYMOND MACK

MANITOWOC, WI
NPI1134192321
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: WI  1765024)
Enumeration Date2006-02-09
Last Update Date2021-11-26
Business Address
Mr. RAYMOND MACK PT
924 BUFFALO ST
MANITOWOC, WI 54220-4618
Phone number: 920-560-1147
Mailing Address
Mr. RAYMOND MACK PT
2105 E ENTERPRISE AVE STE 113
APPLETON, WI 54913-7862
Phone number: 920-560-1147
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