Denali Mesa Corporation

Organization Active NPI Physical Therapist · Anchorage, AK

NPI 1780851998 · NPPES record last updated Jul 16, 2008

Key facts

NPI
1780851998
Entity type
Organization (NPI type 2)
Primary specialty
Physical Therapist 225100000X
Legal business name
DENALI MESA CORPORATION
Practice address
2421 E Tudor Rd
Ste 103
Anchorage, AK 99507-1128
Phone
(907) 646-9774
Fax
(907) 646-9775
NPI assigned
May 15, 2008
Organization subpart
No

Authorized official

Name
Mr. Patrick Kinnebrew
Title
Operations Manager
Phone
(907) 258-8618

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
225100000X AK Yes

Addresses

Primary practice location

2421 E Tudor Rd
Ste 103
Anchorage, AK 99507-1128

Mailing address

907 E Dowling Rd Ste 26
Anchorage
Anchorage, AK 99518-1427
Phone (907) 258-8618

Other identifiers

IdentifierTypeStateIssuer
193978501OtherAKU.S. DEPARTMENT OF LABOR
PT95101MedicaidAK
PT1442MedicaidAK

Other names

  • Frontier Therapy Services Doing business as

Other providers in Anchorage, AK

All providers in Anchorage, AK · Physical Therapist in Alaska

Sources for this page

Verify at the official NPI Registry.