| Doctor Name: | WENDELL B MENDENHALL |
| NPI Number: | 1275682262 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MPT |
| License Number: | 120899-2401 |
| Business Practice Address: | 44 Red Pine Dr Alpine, UT - 840041557 |
| Business Phone Number: | 8017567061 |
| Business Fax Number: | 8017567043 |
| Mailing Address: | 568 Ranch Cir, ALPINE |
| State: | UT |
| Postal Code: | 840041972 |
| Phone Number: | 8017560752 |
| Fax Number: | |
| NPI Enumeration Date: | 01/09/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251S0007X |
| License Number: | 120899-2401 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Sports |
| Taxonomy Definition: | |