Organization
DENALI MESA CORPORATION
Active
Other names
Frontier Therapy Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK KINNEBREW (OPERATIONS MANAGER)
(907) 258-8618
Entity
Organization
Contact information
Practice address
2421 E TUDOR RD, STE 103, ANCHORAGE, AK 99507-1128
(907) 646-9774
(907) 646-9775
Mailing address
907 E DOWLING RD STE 26, ANCHORAGE, ANCHORAGE, AK 99518-1427
(907) 258-8618
(907) 563-9291
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
193978501
U.S. DEPARTMENT OF LABOR
AK
05
—
PT1442
—
AK
05
—
PT95101
—
AK
Enumeration date
05/15/2008
Last updated
07/16/2008
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