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

Mr. Scot Alexander Wack, CMT, NBCA

Individual provider Other Technician · NPI 1871810226

Mr. Scot Alexander Wack, CMT, NBCA is an Other Technician in Northport, Michigan. Practices as a sole proprietor. Registered with an NPI since 2010.

In the registry since
2010

Practice location Address checks out

109 Nagonaba St
Northport, MI 49670 Not confirmed with CMS for 16 years — call before visiting
Phone: (231) 386-7708
Show map & directions

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

Specialties & licences

Other Technician (primary) Taxonomy 247200000X

Record details

NPI number1871810226
Entity typeIndividual (Type 1)
GenderMale
Credentials CMT , NBCA
Sole proprietorYes
NPI enumeratedApril 26, 2010
Last updated in NPPESApril 26, 2010