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

Mrs. Marisa D Stack, DPT

Individual provider Physical Therapist · NPI 1437703345

Mrs. Marisa D Stack, DPT is a Physical Therapist in Santa Rosa, California. Licensed in California. Registered with an NPI since 2019.

Licensed in
CA
In the registry since
2019
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

140 Wikiup Dr
Santa Rosa, CA 95403-7756
Phone: (707) 542-5400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 39316 (CA)

Record details

NPI number1437703345
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedJuly 29, 2019
Last updated in NPPESJuly 29, 2019

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