Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ken Mack, PTA

Individual provider Physical Therapy Assistant · NPI 1083926158

Ken Mack, PTA is a Physical Therapy Assistant in South Bend, Indiana. Licensed in Indiana. Registered with an NPI since 2010.

Licensed in
IN
In the registry since
2010
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

1005 N Hickory Rd
South Bend, IN 46615-3723
Phone: (574) 233-5754
Fax: (574) 233-7406
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 06003673 (IN)

Record details

NPI number1083926158
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedJuly 6, 2010
Last updated in NPPESJuly 6, 2010
Mailing address1005 N Hickory Rd, South Bend, IN 46615-3723

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