JOHN THOMAS STACK

EAU CLAIRE, WI
NPI1962562686
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WI  3557-024)
Enumeration Date2006-12-11
Last Update Date2007-07-08
Business Address
-- JOHN THOMAS STACK PT
901 W CLAIREMONT AVE
EAU CLAIRE, WI 54701-6103
Phone number: 715-839-4359
Mailing Address
-- JOHN THOMAS STACK PT
716 W GRAND AVE APT 312
EAU CLAIRE, WI 54703-5433
Phone number: 715-852-0163