Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Mackenzie Stack, PT

Individual provider Physical Therapist · NPI 1023640646

Mackenzie Stack, PT is a Physical Therapist in Yulee, Florida. Works from 2 locations. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

463721 State Road 200 Ste 7
Yulee, FL 32097-8661
Phone: (904) 602-6088
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4800 First Coast Hwy Ste 240, Fernandina Beach, FL 32034-5598 — (904) 321-5491

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1023640646
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedFebruary 11, 2020
Last updated in NPPESOctober 1, 2026
Certification dateOctober 1, 2026

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