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

Tara Mack, PTA

Individual provider Physical Therapy Assistant · NPI 1770977928

Tara Mack, PTA is a Physical Therapy Assistant in Louisville, Kentucky. Licensed in Michigan. Registered with an NPI since 2015.

Licensed in
MI
In the registry since
2015
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

2701 Chestnut Station Ct
Louisville, KY 40299-6395
Phone: (800) 335-1060
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 5502004267 (MI)

Record details

NPI number1770977928
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedMarch 26, 2015
Last updated in NPPESMarch 26, 2015

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