Individual
WESLEY A MENTELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
131 SOUTH MAIN STREET, HOWARD, SD 57349
(605) 772-2131
(605) 772-2041
Mailing address
PO BOX 39, HOWARD, SD 57349-0039
(605) 772-2131
(605) 772-2041
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1326
ND
225100000X
Physical Therapist
Primary
1337
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54130
—
ND
05
—
5835460
—
SD
Enumeration date
03/28/2006
Last updated
01/22/2008
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