| Doctor Name: | CAREY ANN MACK |
| NPI Number: | 1023260700 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | RPT-1023 |
| Business Practice Address: | 24206 N Donielle Ln Deer Park, WA - 990069766 |
| Business Phone Number: | 5099916585 |
| Business Fax Number: | |
| Mailing Address: | Po Box 386, COLBERT |
| State: | WA |
| Postal Code: | 990050386 |
| Phone Number: | 5099916585 |
| Fax Number: | |
| NPI Enumeration Date: | 10/14/2008 |
| NPI Last Update Date: | 10/14/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251P0200X |
| License Number: | RPT-1023 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |