Individual
DR. WESLEY ALBERT MENNEAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3190 E MERIDIAN PARK LOOP STE 206A, WASILLA, AK 99654-7422
(907) 373-9462
Mailing address
3066 E MERIDIAN PARK LOOP STE 3, WASILLA, AK 99654-7254
(907) 357-7710
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
133975
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
133975
PROFESSIONAL LICENSE
AK
Enumeration date
06/26/2018
Last updated
06/26/2018
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