Denali Mesa Corporation

NPI #1780851998 in Anchorage, Alaska

Provider Information

NPI Number: 1780851998
Entity Type: Organization
Organization Name: Denali Mesa Corporation
Primary Specialty: Physical Therapist
Enumeration Date: May 15, 2008
Last Updated: Jul 16, 2008

Practice Location

Address: 2421 E TUDOR RD
Address 2: STE 103
City: Anchorage
State: Alaska
ZIP Code: 99507-1128
Phone: (907) 646-9774

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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