| Doctor Name: | DALE HENRY MENNA |
| NPI Number: | 1174663009 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSPT |
| License Number: | 2961 |
| Business Practice Address: | 1525 Country Club Rd Sherwood, AR - 721205076 |
| Business Phone Number: | 5019783135 |
| Business Fax Number: | 5019783138 |
| Mailing Address: | 600 S Mckinley St, LITTLE ROCK |
| State: | AR |
| Postal Code: | 722055202 |
| Phone Number: | 5019782600 |
| Fax Number: | 5019782630 |
| NPI Enumeration Date: | 02/08/2007 |
| NPI Last Update Date: | 06/16/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 2961 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| 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 |