Denali Mesa Corporation

NPI #1720255946 in Juneau, Alaska

Provider Information

NPI Number: 1720255946
Entity Type: Organization
Organization Name: Denali Mesa Corporation
Subpart: Yes (part of a larger organization)
Parent Organization: DENALI MESA CORPORATION
Primary Specialty: Physical Therapist
Enumeration Date: May 15, 2008
Last Updated: May 15, 2008

Practice Location

Address: 9109 MENDENHALL MALL RD
Address 2: STE 5K
City: Juneau
State: Alaska
ZIP Code: 99801-7113
Phone: (907) 209-8571

Authorized Official

Name: MR. PATRICK KINNEBREW
Title: OPERATIONS MANAGER
Phone: (907) 258-8618

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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