Individual
CARRIE A MENTELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
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
Primary
1025
SD
225100000X
Physical Therapist
1240
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54130
—
ND
05
—
5832872
—
SD
Enumeration date
04/19/2006
Last updated
11/29/2007
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