Organization Name: | DENALI MESA CORPORATION |
NPI Number: | 1720255946 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PATRICK KINNEBREW (OPERATIONS MANAGER) |
Mailing Address: | 9109 Mendenhall Mall Rd Ste 5k Juneau |
State: | AK US |
Postal Code: | 998017113 |
Phone Number: | 9072098571 |
Fax Number: | 9075866736 |
NPI Enumeration Date: | 05/15/2008 |
NPI Last Update Date: | 05/15/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AK |
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 |