| Doctor Name: | WESLEY A MENTELE |
| NPI Number: | 1003877457 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MPT |
| License Number: | 1326 |
| Business Practice Address: | 131 South Main Street Howard, SD - 57349 |
| Business Phone Number: | 6057722131 |
| Business Fax Number: | 6057722041 |
| Mailing Address: | Po Box 39, HOWARD |
| State: | SD |
| Postal Code: | 573490039 |
| Phone Number: | 6057722131 |
| Fax Number: | 6057722041 |
| NPI Enumeration Date: | 03/28/2006 |
| NPI Last Update Date: | 01/22/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 1326 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | ND |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |